Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $33.11 / $64.57	Facility		$25.70	$33.11	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $93.33	Professional		$25.12	$38.02	$93.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $41.69 / $144.54	Professional	25	$41.69	$41.69	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $41.69	Professional		$31.62	$38.02	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $33.88	Professional		$20.89	$26.92	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.11 / $45.71	Facility		$27.54	$33.11	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $54.95	Professional		$33.11	$41.69	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $186.21	Professional		$29.51	$44.67	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $33.88	Professional		$23.99	$32.36	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $58.88	Professional		$28.18	$38.90	$58.88