Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.70 / $33.11	Facility		$19.95	$25.70	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $57.54	Professional		$21.88	$33.88	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $30.90	Professional		$26.92	$26.92	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $42.66	Professional		$20.42	$26.92	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.90 / $41.69	Facility		$24.55	$30.90	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $45.71	Professional		$25.70	$32.36	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $181.97	Professional		$25.70	$40.74	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.92 / $33.11	Professional		$13.80	$26.92	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $61.66	Professional		$26.30	$37.15	$61.66