Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $25.70	Facility		$22.91	$22.91	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $61.66	Professional		$21.88	$30.90	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $43.65	Professional		$30.90	$33.11	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $50.12	Professional		$30.20	$50.12	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.07 / $87.10	Facility		$45.71	$66.07	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $87.10	Professional		$47.86	$64.57	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $239.88	Professional		$30.90	$30.90	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $87.10	Professional		$40.74	$40.74	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $37.15	Professional		$19.95	$30.20	$37.15