Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.99 / $128.82	Facility		$20.89	$23.99	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $47.86	Professional		$19.95	$31.62	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $34.67	Professional		$18.62	$23.99	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $32.36	Professional		$19.95	$23.44	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.12 / $31.62	Facility		$19.50	$25.12	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $30.90	Professional		$19.50	$22.91	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $107.15	Professional		$19.95	$34.67	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $42.66	Professional		$20.42	$28.18	$42.66