Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $25.61 / $38.61	Facility		$17.32	$25.61	$38.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $22.92 / $29.13	Professional		$14.18	$22.92	$29.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $39.22	Professional		$20.00	$20.00	$39.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Facility		$39.57	$39.57	$39.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.70 / $39.57	Professional		$19.64	$19.70	$39.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.66 / $55.40 / $65.29	Facility		$31.66	$55.40	$65.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $49.46 / $65.29	Professional		$39.57	$49.46	$65.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $29.37 / $68.48	Facility		$25.17	$29.37	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $25.17 / $155.93	Professional		$21.39	$25.17	$155.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $99.74 / $100.00	Professional		$9.97	$99.74	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $19.72 / $27.97	Professional		$13.02	$19.72	$27.97