Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $77.62	Facility		$25.70	$44.67	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.70 / $38.90	Professional		$17.38	$25.70	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $32.36 / $34.67	Facility		$27.54	$32.36	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $44.67	Professional		$16.22	$16.22	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.90 / $45.71	Facility		$32.36	$38.90	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $64.57	Professional		$32.36	$40.74	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $52.48 / $52.48	Facility		$21.38	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $213.80 / $213.80	Professional		$21.88	$213.80	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $27.54 / $45.71	Professional		$13.80	$27.54	$45.71