Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.08 / $55.32 / $70.70	Facility		$44.08	$55.32	$70.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $64.06 / $102.38	Professional		$48.85	$64.06	$102.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $70.42 / $98.59	Professional		$54.06	$70.42	$98.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.91 / $63.91 / $63.91	Facility		$63.91	$63.91	$63.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $30.00 / $85.10	Professional		$11.90	$30.00	$85.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $63.05 / $88.27	Facility		$47.29	$63.05	$88.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $77.45 / $99.29	Professional		$58.10	$77.45	$99.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.34 / $110.34 / $110.34	Facility		$110.34	$110.34	$110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $65.77 / $121.55	Professional		$32.00	$65.77	$121.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $52.82	Professional		$32.34	$32.34	$52.82
United Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $69.81 / $141.05	Professional		$42.75	$69.81	$141.05