Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.66 / $53.58 / $60.79	Facility		$51.66	$53.58	$60.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $53.58 / $76.41	Professional		$41.25	$53.58	$76.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $77.81 / $143.83	Professional		$62.72	$77.81	$143.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.95 / $83.45 / $87.71	Facility		$51.95	$83.45	$87.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $114.79 / $114.79	Professional		$58.24	$114.79	$114.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.45 / $91.74 / $133.52	Facility		$76.45	$91.74	$133.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $99.39 / $133.52	Professional		$76.45	$99.39	$133.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $97.22	Facility		$84.97	$84.97	$97.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $84.97 / $381.55	Professional		$62.03	$84.97	$381.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $114.79 / $143.48	Professional		$94.12	$114.79	$143.48
United Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $68.87 / $97.57	Professional		$39.08	$68.87	$97.57