Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $79.43 / $114.82	Facility		$77.62	$79.43	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $131.83	Professional		$79.43	$114.82	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $37.15	Professional		$12.88	$16.60	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $27.54	Professional		$21.88	$21.88	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26