Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $23.99	Facility		$21.88	$21.88	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $53.70	Professional		$20.89	$25.12	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $30.90	Professional		$15.49	$16.22	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $31.62	Professional		$26.30	$30.90	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $24.55 / $33.88	Facility		$18.20	$24.55	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $32.36	Professional		$19.05	$24.55	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $37.15 / $37.15	Facility		$32.36	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $114.82	Professional		$22.91	$32.36	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $33.11	Professional		$16.22	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $45.71	Professional		$20.89	$26.92	$45.71