Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $38.97 / $91.93	Facility		$24.01	$38.97	$91.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $39.67 / $75.45	Professional		$24.01	$39.67	$75.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $60.29 / $74.45	Professional		$42.10	$60.29	$74.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.12 / $66.05 / $69.42	Facility		$41.12	$66.05	$69.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.22 / $40.10	Professional		$30.90	$32.22	$40.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $88.43 / $122.36	Facility		$66.05	$88.43	$122.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $85.87 / $108.98	Professional		$66.05	$85.87	$108.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $88.08	Facility		$45.70	$45.70	$88.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $45.70 / $369.16	Professional		$33.36	$45.70	$369.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $42.10 / $52.62	Professional		$34.52	$42.10	$52.62
United Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $32.95 / $52.84	Professional		$21.97	$32.95	$52.84