Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $14.32 / $14.89	Facility		$8.49	$14.32	$14.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $12.97 / $14.89	Professional		$11.99	$12.97	$14.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $22.55 / $25.56	Professional		$18.89	$22.55	$25.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $30.07 / $31.60	Facility		$18.72	$30.07	$31.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $14.03 / $17.98	Professional		$12.28	$14.03	$17.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $35.65 / $43.60	Facility		$22.55	$35.65	$43.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $36.08 / $49.62	Professional		$27.80	$36.08	$49.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $35.24	Facility		$16.29	$16.29	$35.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $16.29 / $128.88	Professional		$11.89	$16.29	$128.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $19.17 / $23.96	Professional		$15.71	$19.17	$23.96
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.87 / $19.41	Professional		$10.00	$14.87	$19.41