Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $14.24 / $14.77	Facility		$4.13	$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 $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
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 / $14.42 / $15.01	Professional		$12.96	$14.42	$15.01
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 $15.39 / $15.39 / $32.47	Facility		$15.39	$15.39	$32.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $15.39 / $132.26	Professional		$11.23	$15.39	$132.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $18.02 / $22.52	Professional		$14.77	$18.02	$22.52
United Facility/Professional Facility Modifier Low / Median / High Price $10.42 / $12.18 / $14.34	Facility		$10.42	$12.18	$14.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $13.31 / $18.26	Professional		$9.16	$13.31	$18.26