Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Facility		$30.20	$30.20	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $47.86	Professional		$30.20	$41.69	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $63.10	Professional		$50.12	$63.10	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $47.86 / $93.33	Facility		$5.89	$47.86	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $67.61 / $107.15	Professional		$8.51	$67.61	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $57.54 / $102.33	Facility		$15.14	$57.54	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $93.33	Professional		$35.48	$41.69	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.37 / $53.70	Professional		$4.17	$5.37	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $28.18 / $44.67	Facility		$3.80	$28.18	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $63.10	Professional		$23.99	$43.65	$63.10