Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.80 / $161.80 / $228.97	Facility		$161.80	$161.80	$228.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $16.87 / $55.20	Professional		$12.71	$16.87	$55.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $15.17 / $20.93	Professional		$12.64	$15.17	$20.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $14.49 / $16.54	Professional		$12.03	$14.49	$16.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $12.89 / $20.93	Facility		$11.21	$12.89	$20.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.17 / $20.93	Professional		$12.00	$15.17	$20.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $18.82 / $18.82	Facility		$18.82	$18.82	$18.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $1.83 / $1.83 / $1.83	Facility	AS	$1.83	$1.83	$1.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $14.28 / $74.84	Professional		$13.91	$14.28	$74.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $18.60 / $27.46	Professional		$14.14	$18.60	$27.46