Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $50.27 / $237.30	Facility		$27.72	$50.27	$237.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $26.30 / $32.17	Professional		$25.17	$26.30	$32.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $43.86 / $43.86	Professional		$43.86	$43.86	$43.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $31.58 / $36.88	Facility		$21.84	$31.58	$36.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $17.32 / $23.29	Professional		$14.73	$17.32	$23.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $49.13 / $56.14	Facility		$35.09	$49.13	$56.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $43.86 / $58.95	Professional		$35.09	$43.86	$58.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $27.30 / $66.92	Facility		$22.81	$27.30	$66.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $40.46 / $169.13	Professional		$17.82	$40.46	$169.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $29.63 / $50.27	Professional		$14.74	$29.63	$50.27