Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $21.53 / $61.32	Facility		$20.90	$21.53	$61.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $31.21	Professional		$21.53	$21.53	$31.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $21.56 / $21.56	Professional		$21.56	$21.56	$21.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $25.39 / $30.47	Facility		$24.37	$25.39	$30.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.53 / $22.72	Professional		$21.52	$21.53	$22.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $25.84 / $34.45	Facility		$21.53	$25.84	$34.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $23.68 / $33.15	Professional		$21.53	$23.68	$33.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $85.00 / $85.00	Facility		$21.52	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $53.15	Professional		$21.52	$21.52	$53.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.56 / $28.03	Professional		$21.53	$21.56	$28.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.82 / $78.20	Professional		$21.53	$22.82	$78.20