Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $28.29 / $43.13	Professional		$23.70	$28.29	$43.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $29.28 / $36.59	Professional		$27.23	$29.28	$36.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $21.62 / $28.36	Professional		$18.91	$21.62	$28.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $31.49 / $44.59	Facility		$25.19	$31.49	$44.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $36.59 / $50.38	Professional		$34.21	$36.59	$50.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $55.11 / $55.11	Facility		$55.11	$55.11	$55.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $65.06 / $104.88	Professional		$31.70	$65.06	$104.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.83 / $32.34 / $36.96	Professional		$19.83	$32.34	$36.96
United Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $31.84 / $38.10	Professional		$26.22	$31.84	$38.10