Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $48.98	Facility		$47.86	$47.86	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $77.62	Professional		$40.74	$47.86	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $100.00	Facility		$85.11	$95.50	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $51.29	Professional		$43.65	$45.71	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $125.89 / $162.18	Facility		$70.79	$125.89	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $151.36	Professional		$93.33	$117.49	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $147.91 / $147.91	Facility		$56.23	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $91.20 / $446.68	Professional		$41.69	$91.20	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $81.28	Professional		$48.98	$63.10	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $44.67 / $51.29	Facility		$40.74	$44.67	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $63.10	Professional		$30.90	$44.67	$63.10