Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $56.23 / $64.57	Facility		$44.67	$56.23	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $97.72	Professional		$48.98	$61.66	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $102.33	Professional		$52.48	$57.54	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $77.62	Professional		$42.66	$54.95	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $91.20	Facility		$54.95	$69.18	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $102.33	Professional		$57.54	$72.44	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $354.81	Professional		$47.86	$75.86	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $52.48	Professional		$27.54	$33.11	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $131.83	Professional		$50.12	$72.44	$131.83