Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $25.89 / $25.89	Facility		$24.96	$25.89	$25.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $23.45 / $32.97	Professional		$18.89	$23.45	$32.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $40.52 / $40.52	Professional		$40.52	$40.52	$40.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $41.67 / $43.80	Facility		$25.94	$41.67	$43.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $19.43 / $36.19	Professional		$19.43	$19.43	$36.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $56.25 / $68.76	Facility		$31.25	$56.25	$68.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $50.00 / $68.76	Professional		$35.42	$50.00	$68.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $55.27	Facility		$38.15	$38.15	$55.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $38.15 / $117.24	Professional		$32.43	$38.15	$117.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $44.60 / $55.75	Professional		$36.57	$44.60	$55.75
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $32.06 / $44.02	Professional		$20.05	$32.06	$44.02