Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $31.04 / $165.90	Facility		$29.93	$31.04	$165.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $32.67 / $38.69	Professional		$26.68	$32.67	$38.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.25 / $58.23 / $61.20	Facility		$36.25	$58.23	$61.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $31.86 / $36.10	Professional		$31.86	$31.86	$36.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $80.33 / $110.64	Facility		$43.67	$80.33	$110.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $78.61 / $100.84	Professional		$58.23	$78.61	$100.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $70.44	Facility		$36.61	$36.61	$70.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $36.61 / $295.23	Professional		$26.73	$36.61	$295.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $33.96 / $41.68	Professional		$27.34	$33.96	$41.68
United Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $29.05 / $46.58	Professional		$19.37	$29.05	$46.58