Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $28.95	Facility		$19.57	$19.57	$28.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $22.03 / $28.95	Professional		$16.11	$22.03	$28.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $32.99 / $40.13	Professional		$28.64	$32.99	$40.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $34.81 / $67.30	Facility		$4.09	$34.81	$67.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $40.97 / $67.59	Professional		$4.76	$40.97	$67.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $49.92	Facility		$28.34	$28.34	$49.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $28.34 / $209.24	Professional		$24.09	$28.34	$209.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $32.86 / $34.50	Professional		$26.94	$32.86	$34.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $23.74 / $34.77	Professional		$14.77	$23.74	$34.77