Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $52.43 / $52.43	Facility		$45.67	$52.43	$52.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $49.89 / $71.04	Professional		$27.60	$49.89	$71.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Professional		$88.85	$88.85	$88.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $51.02 / $57.66	Professional		$39.00	$51.02	$57.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $106.62 / $146.60	Facility		$88.85	$106.62	$146.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $111.06 / $142.16	Professional		$88.85	$111.06	$142.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $104.12	Facility		$59.47	$59.47	$104.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $59.47 / $428.26	Professional		$43.41	$59.47	$428.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $55.72 / $115.51	Professional		$45.69	$55.72	$115.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $44.32 / $68.29	Professional		$29.55	$44.32	$68.29