Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $55.52 / $98.51	Facility		$34.00	$55.52	$98.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $44.33 / $70.00	Professional		$39.53	$44.33	$70.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $58.49 / $58.49 / $58.49	Professional	CQ	$58.49	$58.49	$58.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $40.63 / $40.63	Professional		$40.63	$40.63	$40.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $40.74 / $60.36	Facility		$36.67	$40.74	$60.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $36.96 / $53.48	Professional		$23.98	$36.96	$53.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.13 / $72.59 / $90.20	Facility		$63.13	$72.59	$90.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $72.59 / $91.54	Professional		$63.13	$72.59	$91.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $75.00 / $82.00	Facility		$45.00	$75.00	$82.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $53.97 / $98.41	Professional		$34.15	$53.97	$98.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $32.34 / $42.90	Professional		$32.17	$32.34	$42.90
United Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $51.55 / $69.56	Professional		$43.52	$51.55	$69.56