Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $70.15 / $92.42	Professional		$38.75	$70.15	$92.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.94 / $89.80 / $106.02	Professional	25	$71.94	$89.80	$106.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $76.79 / $99.55	Professional		$71.42	$76.79	$99.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $45.68 / $96.42	Professional		$29.77	$45.68	$96.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $45.69 / $60.23	Facility		$41.54	$45.69	$60.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $76.58 / $104.62	Professional		$60.23	$76.58	$104.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Facility		$72.70	$72.70	$72.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $66.78 / $123.67	Professional		$39.99	$66.78	$123.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.67	Professional		$32.34	$32.34	$51.67
United Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $68.42 / $115.75	Professional		$55.79	$68.42	$115.75