Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $70.79 / $162.18	Facility		$44.67	$70.79	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $114.82	Professional		$37.15	$53.70	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $83.18	Professional		$56.23	$67.61	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $77.62 / $81.28	Facility		$69.18	$77.62	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $60.26	Professional		$48.98	$48.98	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $102.33 / $131.83	Facility		$69.18	$102.33	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $120.23	Professional		$75.86	$93.33	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $117.49 / $117.49	Facility		$67.61	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $346.74	Professional		$48.98	$97.72	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $104.71	Professional		$64.57	$81.28	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $52.48 / $66.07	Facility		$48.98	$52.48	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $75.86	Professional		$33.11	$54.95	$75.86