Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.85 / $191.13 / $636.13	Facility		$33.85	$191.13	$636.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $35.97 / $41.28	Professional		$33.85	$35.97	$41.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $28.66 / $51.60	Professional		$20.64	$28.66	$51.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $37.15 / $43.39	Facility		$25.70	$37.15	$43.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $20.38 / $40.90	Professional		$19.53	$20.38	$40.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $49.54 / $58.10	Facility		$41.28	$49.54	$58.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $49.95 / $82.56	Professional		$41.28	$49.95	$82.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $32.11 / $74.84	Facility		$26.83	$32.11	$74.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $47.50 / $266.24	Professional		$20.97	$47.50	$266.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $33.70 / $57.67	Professional		$17.34	$33.70	$57.67