Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $30.90	Facility		$28.84	$28.84	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $46.77	Professional		$23.99	$28.18	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $63.10	Professional		$31.62	$42.66	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $67.61	Facility		$57.54	$64.57	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.20 / $38.02	Professional		$27.54	$30.20	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $109.65	Facility		$46.77	$85.11	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $100.00	Professional		$63.10	$79.43	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $91.20 / $91.20	Facility		$34.67	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $275.42	Professional		$25.12	$53.70	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $53.70	Professional		$33.11	$41.69	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $38.90	Facility		$33.11	$33.11	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $38.90	Professional		$20.89	$30.90	$38.90