Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $36.31	Facility		$33.88	$33.88	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $64.57	Professional		$30.90	$36.31	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $74.13 / $79.43	Facility		$67.61	$74.13	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $44.67	Professional		$34.67	$43.65	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $100.00 / $128.82	Facility		$54.95	$100.00	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $117.49	Professional		$74.13	$91.20	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $134.90 / $134.90	Facility		$45.71	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $69.18 / $407.38	Professional		$33.11	$69.18	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $63.10	Professional		$38.02	$48.98	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $48.98 / $57.54	Facility		$47.86	$48.98	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $56.23	Professional		$24.55	$36.31	$56.23