Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $57.54 / $3,890.45	Facility		$23.99	$57.54	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $61.66	Professional		$19.95	$30.90	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.91 / $45.71	Professional		$21.38	$22.91	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $22.39 / $61.66	Professional		$10.47	$22.39	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.20 / $32.36	Facility		$21.88	$30.20	$32.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $56.23	Professional		$26.92	$43.65	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $53.70	Facility		$38.90	$38.90	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $39.81 / $263.03	Professional		$11.48	$39.81	$263.03
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 Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.81 / $70.79	Professional		$19.50	$39.81	$70.79