Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $60.89 / $63.14	Facility		$36.61	$60.89	$63.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $60.49 / $69.91	Professional		$36.61	$60.49	$69.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.43 / $87.43	Professional		$57.54	$87.43	$87.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $118.46 / $124.50	Facility		$73.73	$118.46	$124.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $56.88 / $61.34	Professional		$55.41	$56.88	$61.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.76 / $130.31 / $186.05	Facility		$112.76	$130.31	$186.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $145.71 / $189.54	Professional		$116.57	$145.71	$189.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $138.82	Facility		$68.22	$68.22	$138.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $208.04	Professional		$49.80	$68.22	$208.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $75.50 / $94.37	Professional		$61.91	$75.50	$94.37
United Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $56.35 / $76.88	Professional		$38.71	$56.35	$76.88