Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $19.38 / $20.10	Facility		$13.11	$19.38	$20.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $20.30 / $24.18	Professional		$13.11	$20.30	$24.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $27.04 / $27.04	Professional		$27.04	$27.04	$27.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $37.70 / $39.61	Facility		$23.47	$37.70	$39.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $21.61 / $22.33	Professional		$17.64	$21.61	$22.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $53.16 / $71.63	Facility		$28.28	$53.16	$71.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $50.90 / $63.03	Professional		$37.70	$50.90	$63.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $48.33	Facility		$29.97	$29.97	$48.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.63 / $202.58	Professional		$21.88	$27.63	$202.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $24.05 / $30.06	Professional		$19.72	$24.05	$30.06
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $18.82 / $28.76	Professional		$12.54	$18.82	$28.76