Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $51.11 / $77.63	Facility		$13.85	$51.11	$77.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $55.45 / $63.36	Professional		$43.14	$55.45	$63.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $79.44 / $79.44	Professional		$79.44	$79.44	$79.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $95.90 / $100.79	Facility		$59.70	$95.90	$100.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $53.07 / $58.04	Professional		$23.12	$53.07	$58.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.93 / $135.22 / $170.45	Facility		$71.93	$135.22	$170.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $121.81 / $158.24	Professional		$91.11	$121.81	$158.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $116.62	Facility		$59.92	$59.92	$116.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $67.41 / $130.66	Professional		$43.74	$67.41	$130.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $55.92 / $68.63	Professional		$45.02	$55.92	$68.63
United Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $47.76 / $63.22	Professional		$31.89	$47.76	$63.22