Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $50.28 / $52.15	Facility		$35.56	$50.28	$52.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $52.15 / $58.75	Professional		$44.02	$52.15	$58.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $73.37 / $83.16	Professional		$55.03	$73.37	$83.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $97.83 / $102.82	Facility		$60.90	$97.83	$102.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $47.73 / $58.96	Professional		$45.76	$47.73	$58.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $117.40 / $161.41	Facility		$97.83	$117.40	$161.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $122.29 / $156.53	Professional		$97.83	$122.29	$156.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $136.82	Facility		$72.18	$72.18	$136.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $72.18 / $573.44	Professional		$52.69	$72.18	$573.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $62.35 / $77.93	Professional		$51.12	$62.35	$77.93
United Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $48.81 / $74.89	Professional		$32.54	$48.81	$74.89