Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $41.69	Facility		$36.31	$36.31	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $60.26 / $147.91	Professional		$25.12	$60.26	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $75.86	Professional		$36.31	$56.23	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $33.11	Professional		$26.92	$30.90	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $95.50 / $125.89	Facility		$53.70	$95.50	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $114.82	Professional		$70.79	$89.13	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $104.71 / $104.71	Facility		$44.67	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $316.23	Professional		$38.02	$58.88	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $102.33	Professional		$37.15	$47.86	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $37.15 / $50.12	Facility		$25.12	$37.15	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $48.98	Professional		$21.88	$34.67	$48.98