Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $27.53 / $28.55	Facility		$19.47	$27.53	$28.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $28.55 / $32.52	Professional		$23.65	$28.55	$32.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $40.17 / $45.53	Professional		$40.17	$40.17	$45.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $53.56 / $56.29	Facility		$33.34	$53.56	$56.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $31.36 / $32.25	Professional		$25.05	$31.36	$32.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $75.52 / $96.86	Facility		$40.17	$75.52	$96.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $69.62 / $88.37	Professional		$51.46	$69.62	$88.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $72.61	Facility		$39.15	$39.15	$72.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $39.15 / $304.33	Professional		$28.59	$39.15	$304.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $34.14 / $42.67	Professional		$27.99	$34.14	$42.67
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $26.72 / $42.85	Professional		$17.82	$26.72	$42.85