Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $52.48	Facility		$44.67	$44.67	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $77.62	Professional		$28.84	$52.48	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $89.13 / $117.49	Professional		$41.69	$89.13	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $57.54	Professional		$38.90	$51.29	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $120.23 / $154.88	Facility		$89.13	$120.23	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $141.25	Professional		$89.13	$112.20	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $141.25 / $141.25	Facility		$58.88	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $91.20 / $426.58	Professional		$43.65	$91.20	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $125.89	Professional		$45.71	$57.54	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $46.77 / $67.61	Facility		$39.81	$46.77	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $67.61	Professional		$29.51	$44.67	$67.61