Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $30.62 / $49.17	Facility		$17.60	$30.62	$49.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $38.50 / $57.00	Professional		$19.94	$38.50	$57.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $50.23 / $53.16	Professional		$22.31	$50.23	$53.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Facility		$39.28	$39.28	$39.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $28.24 / $45.69	Professional		$16.66	$28.24	$45.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $22.08 / $30.91	Facility		$16.55	$22.08	$30.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $38.83 / $53.54	Professional		$27.32	$38.83	$53.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Facility		$38.64	$38.64	$38.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $46.05 / $68.00	Professional		$25.68	$46.05	$68.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $31.77 / $32.34	Professional		$21.80	$31.77	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $52.58 / $91.50	Professional		$40.15	$52.58	$91.50