Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $64.57	Facility		$42.66	$42.66	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $69.18	Professional		$42.66	$57.54	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $95.50	Professional		$72.44	$74.13	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $69.18 / $134.90	Facility		$8.32	$69.18	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $95.50 / $151.36	Professional		$12.02	$95.50	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $81.28 / $147.91	Facility		$22.39	$81.28	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $128.82	Professional		$51.29	$60.26	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $77.62	Professional		$60.26	$74.13	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $41.69 / $61.66	Facility		$5.25	$41.69	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $89.13	Professional		$33.11	$57.54	$89.13