Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.71 / $41.62 / $43.16	Facility		$27.71	$41.62	$43.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $40.95 / $43.16	Professional		$35.75	$40.95	$43.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $68.83 / $68.83	Professional		$68.83	$68.83	$68.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $80.97 / $85.10	Facility		$50.40	$80.97	$85.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $37.19 / $46.18	Professional		$37.19	$37.19	$46.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.73 / $109.31 / $125.81	Facility		$60.73	$109.31	$125.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $97.16 / $133.60	Professional		$76.92	$97.16	$133.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $97.14	Facility		$54.11	$54.11	$97.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.11 / $407.15	Professional		$39.50	$54.11	$407.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $51.60 / $64.50	Professional		$42.31	$51.60	$64.50
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $38.04 / $53.38	Professional		$26.93	$38.04	$53.38