Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $44.77 / $44.77	Facility		$43.17	$44.77	$44.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $41.44 / $62.39	Professional		$33.76	$41.44	$62.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $66.89 / $78.76	Professional		$66.89	$66.89	$78.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.37 / $74.48 / $78.29	Facility		$46.37	$74.48	$78.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $30.41 / $63.26	Professional		$30.41	$30.41	$63.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $100.56 / $122.91	Facility		$55.87	$100.56	$122.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $89.39 / $122.91	Professional		$63.32	$89.39	$122.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $96.81	Facility		$67.20	$67.20	$96.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $334.22	Professional		$49.06	$67.20	$334.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $72.17 / $90.21	Professional		$59.17	$72.17	$90.21
United Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $51.83 / $70.77	Professional		$35.10	$51.83	$70.77