Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $49.20 / $51.03	Facility		$34.79	$49.20	$51.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $49.20 / $57.49	Professional		$31.75	$49.20	$57.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $74.12 / $92.64	Professional		$71.80	$74.12	$92.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $95.73 / $100.61	Facility		$59.59	$95.73	$100.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $48.19 / $57.96	Professional		$44.77	$48.19	$57.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $134.97 / $160.44	Facility		$71.80	$134.97	$160.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $119.66 / $157.94	Professional		$90.94	$119.66	$157.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $123.22	Facility		$56.69	$62.81	$123.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $168.10	Professional		$45.85	$62.81	$168.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $61.01 / $76.26	Professional		$50.02	$61.01	$76.26
United Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $47.76 / $75.73	Professional		$31.84	$47.76	$75.73