Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $17.42 / $18.07	Facility		$10.87	$17.42	$18.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $17.12 / $20.00	Professional		$10.87	$17.12	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $23.90	Professional		$23.90	$23.90	$23.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $33.89 / $35.61	Facility		$21.10	$33.89	$35.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $15.54 / $18.11	Professional		$15.54	$15.54	$18.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $45.68 / $51.98	Facility		$25.42	$45.68	$51.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $40.67 / $55.92	Professional		$32.20	$40.67	$55.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $39.72	Facility		$22.18	$22.18	$39.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $22.18 / $59.51	Professional		$16.19	$22.18	$59.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $21.60 / $27.00	Professional		$17.71	$21.60	$27.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $16.16 / $22.34	Professional		$11.27	$16.16	$22.34