Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $70.79 / $138.04	Facility		$30.90	$70.79	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $36.31	Professional		$28.18	$33.88	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.02 / $39.81	Facility		$32.36	$38.02	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $39.81	Professional		$18.62	$18.62	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.71 / $52.48	Facility		$38.02	$45.71	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $61.66	Professional		$38.02	$45.71	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $89.13 / $89.13	Facility		$24.55	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $181.97 / $181.97	Professional		$22.39	$181.97	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $52.48	Professional		$15.85	$31.62	$52.48