Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.29 / $51.11 / $76.80	Facility		$49.29	$51.11	$76.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.29 / $56.59 / $72.34	Professional		$49.29	$56.59	$72.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $79.44 / $99.30	Professional		$36.00	$79.44	$99.30
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 $49.74 / $75.06 / $75.06	Professional		$49.74	$75.06	$75.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $116.51 / $169.47	Facility		$95.90	$116.51	$169.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $121.81 / $153.44	Professional		$95.90	$121.81	$153.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $116.62	Facility		$60.32	$61.21	$116.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $61.21 / $488.80	Professional		$44.68	$61.21	$488.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $75.06 / $93.82	Professional		$61.54	$75.06	$93.82
United Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $47.84 / $76.72	Professional		$31.89	$47.84	$76.72