Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $47.56 / $49.32	Facility		$32.69	$47.56	$49.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $48.31 / $59.42	Professional		$32.69	$48.31	$59.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $69.41 / $115.68	Professional		$60.00	$69.41	$115.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.61 / $92.54 / $97.26	Facility		$57.61	$92.54	$97.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $43.87 / $54.74	Professional		$43.28	$43.87	$54.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $105.02 / $168.03	Facility		$89.93	$105.02	$168.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $112.41 / $148.06	Professional		$89.93	$112.41	$148.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $116.04	Facility		$56.94	$58.00	$116.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $162.52	Professional		$42.34	$58.00	$162.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $58.97 / $73.71	Professional		$48.35	$58.97	$73.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $45.20 / $61.01	Professional		$30.78	$45.20	$61.01