Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.63 / $293.91 / $474.22	Facility		$50.63	$293.91	$474.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.84 / $41.71	Professional		$19.00	$24.84	$41.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $17.87 / $42.91	Professional		$7.13	$17.87	$42.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $10.26 / $10.26	Facility		$10.26	$10.26	$10.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $17.36 / $28.55	Professional		$15.90	$17.36	$28.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $35.65 / $48.06	Facility		$34.33	$35.65	$48.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $41.20 / $68.66	Professional		$29.18	$41.20	$68.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $26.80 / $59.18	Facility		$22.83	$26.80	$59.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $47.08 / $273.60	Professional		$20.84	$47.08	$273.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $48.45 / $48.45	Professional		$29.07	$48.45	$48.45
United Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $22.33 / $45.45	Professional		$14.19	$22.33	$45.45