Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $15.75 / $16.37	Facility		$9.66	$15.75	$16.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $14.06 / $16.37	Professional		$13.03	$14.06	$16.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $21.39	Professional		$21.39	$21.39	$21.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $33.09 / $34.78	Facility		$20.60	$33.09	$34.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $15.97 / $19.76	Professional		$13.91	$15.97	$19.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $39.93 / $47.98	Facility		$24.82	$39.93	$47.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $39.71 / $54.60	Professional		$31.37	$39.71	$54.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $38.77	Facility		$18.44	$18.44	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.44 / $145.13	Professional		$13.46	$18.44	$145.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $21.08 / $26.35	Professional		$17.28	$21.08	$26.35
United Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $16.50 / $21.80	Professional		$11.00	$16.50	$21.80