Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.18 / $977.24	Facility		$19.05	$28.18	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $25.12	Professional		$15.14	$19.05	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $38.90	Professional		$25.12	$33.11	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.38 / $25.70	Professional		$16.22	$21.38	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $47.86	Professional		$18.62	$18.62	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $229.09 / $229.09	Professional		$22.91	$229.09	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $44.67	Professional		$18.62	$25.12	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $95.50	Professional		$40.74	$53.70	$95.50