Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $66.07	Facility		$43.65	$43.65	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $70.79	Professional		$43.65	$57.54	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $89.13	Professional		$75.86	$75.86	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $100.00	Professional		$69.18	$100.00	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $72.44 / $141.25	Facility		$9.12	$72.44	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $97.72 / $162.18	Professional		$12.59	$97.72	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $81.28 / $141.25	Facility		$21.38	$81.28	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $147.91	Professional		$48.98	$57.54	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $75.86	Professional		$6.03	$7.59	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $37.15 / $58.88	Facility		$5.01	$37.15	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $63.10 / $100.00	Professional		$35.48	$63.10	$100.00