Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $154.88	Facility		$50.12	$64.57	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $64.57	Professional		$42.66	$52.48	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $67.61	Facility		$54.95	$64.57	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $67.61	Professional		$31.62	$53.70	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $91.20	Facility		$64.57	$77.62	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $128.82	Professional		$64.57	$81.28	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $117.49 / $117.49	Facility		$41.69	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $309.03 / $309.03	Professional		$38.90	$309.03	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $53.70 / $89.13	Professional		$26.92	$53.70	$89.13