Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $43.46 / $45.07	Facility		$26.21	$43.46	$45.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $38.74 / $45.07	Professional		$34.33	$38.74	$45.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $72.12 / $72.12	Professional		$72.12	$72.12	$72.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $84.56 / $88.87	Facility		$52.64	$84.56	$88.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $42.24 / $42.24	Professional		$35.18	$42.24	$42.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.42 / $106.78 / $122.61	Facility		$63.42	$106.78	$122.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $101.47 / $139.52	Professional		$80.33	$101.47	$139.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $99.10	Facility		$46.45	$46.45	$99.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $45.65 / $394.95	Professional		$33.90	$45.65	$394.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $53.90 / $67.37	Professional		$44.19	$53.90	$67.37
United Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $38.13 / $55.75	Professional		$27.73	$38.13	$55.75