Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $23.19 / $394.35	Facility		$14.73	$23.19	$394.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.88	Professional		$14.73	$14.73	$14.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $18.41 / $18.41	Professional		$18.41	$18.41	$18.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $17.38 / $17.38	Facility		$16.68	$17.38	$17.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $14.73 / $14.73	Professional		$13.23	$14.73	$14.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $18.41 / $23.57	Facility		$14.73	$18.41	$23.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $16.20 / $22.68	Professional		$14.73	$16.20	$22.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $85.00	Facility		$14.73	$14.73	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.73 / $27.80	Professional		$14.70	$14.73	$27.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $14.71	Professional		$14.71	$14.71	$14.71
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $15.78	Professional		$14.73	$14.73	$15.78