Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $50.12	Facility		$48.98	$48.98	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $70.79	Professional		$30.90	$45.71	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $97.72 / $102.33	Facility		$87.10	$97.72	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $45.71	Professional		$41.69	$41.69	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $128.82 / $165.96	Facility		$72.44	$128.82	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $151.36	Professional		$95.50	$120.23	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $128.82 / $128.82	Facility		$52.48	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $389.05	Professional		$38.90	$79.43	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $81.28	Professional		$50.12	$64.57	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $38.90 / $43.65	Facility		$35.48	$38.90	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.66 / $60.26	Professional		$27.54	$42.66	$60.26