Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $575.44	Facility		$42.66	$63.10	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $79.43	Professional		$41.69	$42.66	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $117.49	Professional		$44.67	$44.67	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $85.11	Facility		$44.67	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $245.47 / $245.47	Professional		$44.67	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $51.29	Professional		$50.12	$50.12	$51.29