Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $41.69	Facility		$28.18	$28.18	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $47.86	Professional		$30.90	$36.31	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $50.12	Professional		$25.12	$50.12	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.84 / $46.77	Professional		$12.88	$28.84	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $91.20	Facility		$60.26	$75.86	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $95.50	Professional		$60.26	$72.44	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $100.00 / $100.00	Facility		$50.12	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $295.12	Professional		$34.67	$40.74	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $67.61	Professional		$53.70	$53.70	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $35.48 / $42.66	Facility		$10.00	$35.48	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $61.66	Professional		$20.42	$32.36	$61.66