Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.69 / $50.68 / $52.56	Facility		$25.69	$50.68	$52.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $50.68 / $52.68	Professional		$43.54	$50.68	$52.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $83.82 / $83.82	Professional		$83.82	$83.82	$83.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $98.61 / $103.64	Facility		$61.38	$98.61	$103.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $51.31 / $52.55	Professional		$46.12	$51.31	$52.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $137.33 / $157.94	Facility		$73.95	$137.33	$157.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $122.61 / $162.71	Professional		$93.68	$122.61	$162.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $115.56	Facility		$66.58	$66.58	$115.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $66.58 / $470.38	Professional		$48.60	$66.58	$470.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $61.84 / $77.30	Professional		$50.70	$61.84	$77.30
United Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $47.41 / $78.89	Professional		$32.79	$47.41	$78.89