Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $31.91 / $31.91	Facility		$27.79	$31.91	$31.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $31.91 / $46.32	Professional		$17.53	$31.91	$46.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $54.08 / $54.08	Professional		$54.08	$54.08	$54.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $54.08 / $54.08	Facility		$54.08	$54.08	$54.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $31.07 / $34.94	Professional		$25.30	$31.07	$34.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $64.90 / $89.23	Facility		$54.08	$64.90	$89.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $67.59 / $86.53	Professional		$54.08	$67.59	$86.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $63.37	Facility		$36.21	$36.21	$63.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $36.21 / $260.67	Professional		$26.43	$36.21	$260.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $32.00 / $70.30	Professional		$26.24	$32.00	$70.30
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.98 / $41.58	Professional		$17.98	$26.98	$41.58