Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $57.54 / $21,877.62	Facility		$33.88	$57.54	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $13,182.57	Professional		$33.11	$33.88	$13,182.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $67.61	Professional		$33.11	$33.88	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $63.10	Facility		$38.02	$39.81	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $34.67 / $51.29	Facility		$33.11	$34.67	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $45.71	Professional		$33.11	$34.67	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $85.11 / $85.11	Facility		$33.88	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $141.25	Professional		$33.88	$33.88	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $43.65	Professional		$33.11	$33.88	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $37.15	Professional		$33.88	$35.48	$37.15