Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $57.54 / $457.09	Facility		$23.99	$57.54	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $54.95 / $120.23	Professional		$22.91	$54.95	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $36.31	Professional		$28.18	$30.90	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $28.18	Professional		$22.91	$22.91	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.20 / $35.48	Facility		$21.88	$30.20	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $35.48	Professional		$22.39	$27.54	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $69.18 / $281.84	Professional		$23.44	$69.18	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $58.88	Professional		$19.05	$33.11	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $54.95 / $107.15	Professional		$22.91	$54.95	$107.15