Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $39.15 / $39.15	Facility		$34.10	$39.15	$39.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $39.15 / $56.83	Professional		$18.70	$39.15	$56.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $66.33 / $66.33	Professional		$46.43	$66.33	$66.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $42.33 / $45.08	Professional		$29.91	$42.33	$45.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $92.86 / $109.44	Facility		$49.75	$92.86	$109.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $82.91 / $109.44	Professional		$66.33	$82.91	$109.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $77.73	Facility		$39.86	$39.86	$77.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.06 / $320.92	Professional		$33.88	$41.06	$320.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $47.48 / $86.23	Professional		$38.93	$47.48	$86.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $32.06 / $46.89	Professional		$19.51	$32.06	$46.89