Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $9.90 / $312.60	Facility		$6.73	$9.90	$312.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $9.90	Professional		$6.73	$6.73	$9.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $6.90 / $6.90	Professional		$6.90	$6.90	$6.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $7.94 / $13.46	Facility		$7.62	$7.94	$13.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $7.59	Professional		$6.73	$6.73	$7.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $7.40 / $10.77	Facility		$6.73	$7.40	$10.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.07 / $9.76	Professional		$6.73	$7.07	$9.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $85.00 / $85.00	Facility		$6.73	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $107.89	Professional		$6.73	$6.73	$107.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $6.98 / $8.97	Professional		$6.90	$6.98	$8.97
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.13 / $7.49	Professional		$6.73	$7.13	$7.49