Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $55.64 / $57.86	Facility		$36.79	$55.64	$57.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $50.64 / $57.86	Professional		$48.19	$50.64	$57.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Professional		$29.00	$29.00	$29.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.77 / $116.90 / $122.86	Facility		$72.77	$116.90	$122.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $60.81 / $61.57	Professional		$49.39	$60.81	$61.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.68 / $146.81 / $169.51	Facility		$87.68	$146.81	$169.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $140.28 / $192.89	Professional		$111.06	$140.28	$192.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $136.99	Facility		$66.22	$66.22	$136.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $66.22 / $568.04	Professional		$48.34	$66.22	$568.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $74.50 / $93.12	Professional		$61.09	$74.50	$93.12
United Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $58.32 / $77.83	Professional		$38.88	$58.32	$77.83