Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $115.86 / $333.89	Facility		$32.19	$115.86	$333.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $35.43 / $36.86	Professional		$31.79	$35.43	$36.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $50.94	Professional		$50.94	$50.94	$50.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $36.68 / $42.83	Facility		$25.37	$36.68	$42.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $40.39	Professional		$20.12	$20.12	$40.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $48.90 / $57.18	Facility		$40.75	$48.90	$57.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $49.31 / $81.50	Professional		$40.75	$49.31	$81.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $31.71 / $73.91	Facility		$26.49	$31.71	$73.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $46.67 / $262.57	Professional		$20.64	$46.67	$262.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $22.41	Professional		$22.41	$22.41	$22.41
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $34.15 / $48.90	Professional		$17.12	$34.15	$48.90