Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $48.10 / $49.88	Facility		$30.17	$48.10	$49.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $47.82 / $49.98	Professional		$30.17	$47.82	$49.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $67.01 / $67.01	Professional		$67.01	$67.01	$67.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.25 / $93.58 / $98.35	Facility		$58.25	$93.58	$98.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $45.41 / $49.41	Professional		$43.76	$45.41	$49.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $130.28 / $149.90	Facility		$70.19	$130.28	$149.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $116.33 / $154.41	Professional		$88.90	$116.33	$154.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $109.67	Facility		$56.56	$56.56	$109.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $56.56 / $164.33	Professional		$41.29	$56.56	$164.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $59.63 / $74.53	Professional		$48.89	$59.63	$74.53
United Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $45.70 / $74.04	Professional		$31.12	$45.70	$74.04