Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $81.28 / $275.42	Facility		$27.54	$81.28	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $32.36	Professional		$25.12	$30.20	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $38.02	Professional		$20.42	$20.42	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $35.48	Facility		$28.84	$33.88	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $46.77	Professional		$16.60	$16.60	$46.77
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 / $42.66 / $67.61	Professional		$33.88	$42.66	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $64.57 / $64.57	Facility		$21.88	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $302.00 / $302.00	Professional		$20.42	$302.00	$302.00
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 $14.13 / $28.18 / $46.77	Professional		$14.13	$28.18	$46.77