Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $31.10 / $32.25	Facility		$21.99	$31.10	$32.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $33.65 / $39.89	Professional		$27.22	$33.65	$39.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $45.38 / $51.43	Professional		$45.38	$45.38	$51.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $60.50 / $63.59	Facility		$37.65	$60.50	$63.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $35.43 / $36.36	Professional		$28.98	$35.43	$36.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.38 / $85.31 / $114.95	Facility		$45.38	$85.31	$114.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $81.68 / $103.98	Professional		$60.50	$81.68	$103.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $81.31	Facility		$48.99	$48.99	$81.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.99 / $340.77	Professional		$35.76	$48.99	$340.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $38.56 / $48.20	Professional		$31.61	$38.56	$48.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $30.19 / $46.19	Professional		$20.12	$30.19	$46.19