Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $67.61 / $102.33	Facility		$42.66	$67.61	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $83.18	Professional		$30.20	$45.71	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $85.11	Professional		$47.86	$57.54	$85.11
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $58.88 / $64.57	Professional	25	$41.69	$58.88	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $48.98	Professional		$22.39	$33.11	$48.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $64.57	Facility		$34.67	$45.71	$64.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $77.62	Professional		$45.71	$57.54	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $288.40	Professional		$31.62	$56.23	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $33.11	Professional		$25.12	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $63.10	Professional		$28.18	$40.74	$63.10