Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $81.28 / $263.03	Facility		$38.90	$81.28	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $45.71	Professional		$34.67	$41.69	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $46.77 / $48.98	Facility		$39.81	$46.77	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $64.57	Professional		$23.44	$23.44	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $56.23 / $66.07	Facility		$46.77	$56.23	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $77.62	Professional		$46.77	$56.23	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $112.20 / $117.49	Facility		$30.20	$112.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $309.03 / $309.03	Professional		$28.18	$309.03	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $66.07	Professional		$19.95	$39.81	$66.07