Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $46.77 / $81.28	Facility		$28.18	$46.77	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $40.74	Professional		$25.12	$28.18	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $36.31	Facility		$28.18	$33.88	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $33.11	Professional		$15.49	$15.49	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $40.74 / $47.86	Facility		$33.88	$40.74	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $56.23	Professional		$33.88	$40.74	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $57.54 / $57.54	Facility		$22.39	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $165.96 / $165.96	Professional		$18.62	$165.96	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.30 / $43.65	Professional		$14.45	$26.30	$43.65