Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $69.18	Facility		$26.92	$26.92	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $104.71	Professional		$26.92	$60.26	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $77.62	Professional		$72.44	$72.44	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $93.33	Professional		$38.02	$54.95	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $42.66	Facility		$25.12	$33.88	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $58.88	Professional		$28.84	$40.74	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $398.11	Professional		$30.20	$75.86	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $33.11	Professional		$25.70	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $91.20	Professional		$28.18	$56.23	$91.20