Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $50.12 / $66.07	Facility		$21.38	$50.12	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $54.95	Professional		$20.89	$26.92	$54.95
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	CQ	$204.17	$204.17	$204.17
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $51.29	Facility		$34.67	$34.67	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $39.81	Professional		$19.95	$25.12	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $40.74 / $51.29	Facility		$31.62	$40.74	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $48.98	Professional		$33.88	$40.74	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $79.43	Facility		$44.67	$58.88	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $46.77 / $177.83	Professional		$20.42	$46.77	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $33.11	Professional		$19.50	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $42.66	Professional		$28.18	$33.88	$42.66