Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $72.44	Facility		$61.66	$61.66	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $302.00	Professional		$63.10	$97.72	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $109.65	Professional		$41.69	$51.29	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $138.04	Facility		$64.57	$102.33	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $131.83	Professional		$64.57	$102.33	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $138.04 / $138.04	Facility		$100.00	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $89.13 / $457.09	Professional		$41.69	$89.13	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $162.18	Professional		$66.07	$87.10	$162.18