Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $14.24 / $14.77	Facility		$11.72	$14.24	$14.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $14.24 / $14.80	Professional		$12.23	$14.24	$14.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $23.55 / $23.55	Professional		$23.55	$23.55	$23.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $27.71 / $29.12	Facility		$17.25	$27.71	$29.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $13.45 / $14.56	Professional		$12.96	$13.45	$14.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.78 / $38.58 / $44.45	Facility		$20.78	$38.58	$44.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $34.45 / $45.72	Professional		$26.32	$34.45	$45.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $32.47	Facility		$18.45	$18.45	$32.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $18.45 / $132.26	Professional		$13.47	$18.45	$132.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $16.16 / $20.06	Professional		$13.16	$16.16	$20.06
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.69 / $22.17	Professional		$9.21	$13.69	$22.17