Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $165.39 / $446.30	Facility		$50.95	$165.39	$446.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $56.40 / $64.65	Professional		$43.50	$56.40	$64.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $16.78 / $31.07	Professional		$12.43	$16.78	$31.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $55.93 / $65.31	Facility		$34.27	$55.93	$65.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $31.92 / $34.27	Professional		$28.73	$31.92	$34.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $69.59 / $99.42	Facility		$57.19	$69.59	$99.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $74.56 / $124.28	Professional		$62.14	$74.56	$124.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $47.42 / $96.48	Facility		$40.39	$47.42	$96.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $74.56 / $299.51	Professional		$29.55	$74.56	$299.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $47.89 / $74.56	Professional		$26.10	$47.89	$74.56