Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $27.79 / $31.91	Facility		$18.05	$27.79	$31.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $32.94 / $46.32	Professional		$18.05	$32.94	$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 $26.47 / $26.74 / $40.10	Professional		$26.47	$26.74	$40.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.56 / $75.70 / $89.23	Facility		$40.56	$75.70	$89.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $67.59 / $89.23	Professional		$54.08	$67.59	$89.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $63.37	Facility		$35.60	$35.60	$63.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $35.60 / $260.67	Professional		$25.99	$35.60	$260.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $44.56 / $70.30	Professional		$36.53	$44.56	$70.30
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $26.98 / $40.46	Professional		$17.64	$26.98	$40.46