Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $40.98 / $330.71	Facility		$31.91	$40.98	$330.71
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.65 / $15.65 / $18.09	Facility	52	$15.65	$15.65	$18.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $36.88 / $62.52	Professional		$30.36	$36.88	$62.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.12 / $17.46 / $20.88	Professional	52	$15.12	$17.46	$20.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $32.54 / $43.33	Professional		$31.00	$32.54	$43.33
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $10.42 / $10.42 / $10.42	Professional	52	$10.42	$10.42	$10.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $36.40 / $50.10	Professional		$29.69	$36.40	$50.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $35.22 / $42.57	Facility		$29.32	$35.22	$42.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $36.65 / $49.91	Professional		$33.33	$36.65	$49.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.38 / $51.38 / $51.38	Facility		$51.38	$51.38	$51.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.10 / $41.10 / $41.10	Facility	52	$41.10	$41.10	$41.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $47.42 / $73.58	Professional		$29.21	$47.42	$73.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $33.47	Professional		$32.34	$32.34	$33.47
United Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $43.35 / $75.31	Professional		$31.18	$43.35	$75.31