Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $398.11	Facility		$14.13	$27.54	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $18.20	Professional		$14.13	$14.13	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $18.62	Professional		$14.79	$14.79	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $17.38 / $17.38	Facility		$16.60	$17.38	$17.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $23.44	Facility		$14.79	$14.79	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.22 / $20.42	Professional		$14.79	$16.22	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $85.11 / $85.11	Facility		$14.79	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $63.10	Professional		$14.79	$21.38	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $15.49	Professional		$14.79	$14.79	$15.49