Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $28.04 / $51.01	Facility		$13.91	$28.04	$51.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $35.40 / $54.91	Professional		$15.52	$35.40	$54.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $41.79 / $47.70	Professional		$21.10	$41.79	$47.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $36.17 / $36.17	Facility		$36.17	$36.17	$36.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.94 / $42.09	Professional		$13.18	$25.94	$42.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $16.88 / $23.63	Facility		$12.66	$16.88	$23.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $34.07 / $47.00	Professional		$20.26	$34.07	$47.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $41.00 / $62.42	Professional		$21.53	$41.00	$62.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $28.48 / $32.34	Professional		$19.55	$28.48	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $47.43 / $83.11	Professional		$36.19	$47.43	$83.11