Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $66.07 / $190.55	Facility		$12.59	$66.07	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $66.07	Professional		$12.02	$12.02	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $114.82 / $194.98	Professional		$9.33	$114.82	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.49 / $15.49	Facility		$14.79	$15.49	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $41.69	Professional		$18.62	$24.55	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $79.43 / $95.50	Facility		$74.13	$79.43	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $89.13	Professional		$54.95	$70.79	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $85.11 / $85.11	Facility		$13.18	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $70.79 / $70.79	Professional		$13.18	$70.79	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.80	Professional		$12.88	$12.88	$13.80