Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $20.29 / $31.23	Facility		$19.82	$20.29	$31.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $20.56 / $22.63	Professional		$17.68	$20.56	$22.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $28.63 / $28.63	Professional		$28.63	$28.63	$28.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $38.57 / $40.54	Facility		$24.01	$38.57	$40.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $16.48 / $28.59	Professional		$16.48	$16.48	$28.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $53.73 / $61.74	Facility		$28.93	$53.73	$61.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $47.98 / $63.64	Professional		$36.64	$47.98	$63.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $45.20	Facility		$24.80	$24.80	$45.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.80 / $183.93	Professional		$18.10	$24.80	$183.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $22.50 / $27.61	Professional		$18.11	$22.50	$27.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $18.84 / $30.53	Professional		$12.83	$18.84	$30.53