Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.53 / $51.29 / $53.19	Facility		$33.53	$51.29	$53.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $51.29 / $53.20	Professional		$44.06	$51.29	$53.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $84.82 / $84.82	Professional		$84.82	$84.82	$84.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.12 / $99.79 / $104.88	Facility		$62.12	$99.79	$104.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $54.03 / $55.44	Professional		$46.68	$54.03	$55.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.84 / $134.72 / $155.97	Facility		$74.84	$134.72	$155.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $121.85 / $164.65	Professional		$94.80	$121.85	$164.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $120.53	Facility		$62.72	$62.72	$120.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $505.18	Professional		$45.79	$62.72	$505.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $63.60 / $79.50	Professional		$52.15	$63.60	$79.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $47.12 / $70.56	Professional		$33.19	$47.12	$70.56