Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $61.26 / $81.68	Professional		$46.47	$61.26	$81.68
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $73.03 / $73.03 / $73.03	Professional	25	$73.03	$73.03	$73.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $81.17 / $92.00	Professional		$68.39	$81.17	$92.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $73.03 / $105.89	Facility		$72.56	$73.03	$105.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $76.68 / $116.85	Professional		$62.08	$76.68	$116.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $89.84 / $89.84	Facility		$89.84	$89.84	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $83.02 / $369.09	Professional		$70.77	$83.02	$369.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $81.20 / $123.35	Professional		$67.11	$81.20	$123.35