Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $32.46 / $33.65	Facility		$12.93	$32.46	$33.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $32.46 / $33.75	Professional		$27.89	$32.46	$33.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $53.68 / $53.68	Professional		$53.68	$53.68	$53.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $63.15 / $66.37	Facility		$39.31	$63.15	$66.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $32.86 / $33.04	Professional		$29.54	$32.86	$33.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.36 / $87.98 / $101.18	Facility		$47.36	$87.98	$101.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $78.55 / $104.20	Professional		$59.99	$78.55	$104.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $74.00	Facility		$35.07	$35.07	$74.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $35.07 / $301.30	Professional		$25.60	$35.07	$301.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $44.00 / $55.00	Professional		$36.08	$44.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $30.33 / $41.63	Professional		$20.90	$30.33	$41.63