Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $34.90 / $125.77	Facility		$12.06	$34.90	$125.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $23.75 / $34.90	Professional		$23.18	$23.75	$34.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $5.65 / $5.65	Professional		$5.65	$5.65	$5.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $25.44 / $29.71	Facility		$17.60	$25.44	$29.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $34.36 / $34.36	Professional		$13.96	$34.36	$34.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $39.58 / $46.65	Facility		$28.27	$39.58	$46.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $36.75 / $56.54	Professional		$30.25	$36.75	$56.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $21.58 / $33.92	Facility		$18.38	$21.58	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $31.80 / $136.26	Professional		$14.86	$31.80	$136.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.55 / $15.55	Professional		$15.55	$15.55	$15.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $20.94 / $33.92	Professional		$11.87	$20.94	$33.92