Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $16.92 / $23.06	Facility		$16.27	$16.92	$23.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $17.32 / $23.06	Professional		$15.05	$17.32	$23.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $43.04 / $43.04	Professional		$43.04	$43.04	$43.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $50.63 / $53.21	Facility		$31.52	$50.63	$53.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $25.00 / $25.00	Professional		$8.00	$25.00	$25.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $45.69 / $73.41	Facility		$16.88	$45.69	$73.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $60.76 / $83.54	Professional		$42.78	$60.76	$83.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $49.94	Facility		$22.22	$22.22	$49.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.22 / $190.20	Professional		$16.22	$22.22	$190.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $10.40 / $12.50	Professional		$8.19	$10.40	$12.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.05 / $28.43	Professional		$15.38	$21.05	$28.43