Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $31.62 / $213.80	Facility		$23.44	$31.62	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $53.70	Professional		$25.70	$34.67	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $35.48	Professional		$25.12	$30.20	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $32.36	Professional		$20.42	$27.54	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $29.51 / $41.69	Facility		$21.88	$29.51	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $41.69	Professional		$23.44	$31.62	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $162.18	Professional		$23.99	$38.90	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $33.11	Professional		$16.60	$23.44	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $67.61	Professional		$30.90	$38.90	$67.61