Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $49.33 / $177.85	Facility		$2.47	$49.33	$177.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.54 / $91.23	Professional		$2.47	$2.54	$91.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $2.93	Professional		$2.11	$2.11	$2.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $2.91 / $3.50	Facility		$2.80	$2.91	$3.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $3.25	Professional		$2.47	$2.47	$3.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.72 / $3.95	Facility		$2.11	$2.72	$3.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.59 / $3.58	Professional		$2.47	$2.59	$3.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $85.00 / $85.00	Facility		$2.47	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $9.59	Professional		$2.47	$2.47	$9.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.93 / $3.81	Professional		$2.19	$2.93	$3.81
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.62 / $36.11	Professional		$2.47	$2.62	$36.11