Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $29.95 / $31.14	Facility		$18.23	$29.95	$31.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $27.48 / $31.14	Professional		$24.61	$27.48	$31.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $47.19 / $53.48	Professional		$42.21	$47.19	$53.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $62.92 / $66.13	Facility		$39.17	$62.92	$66.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $30.15 / $37.61	Professional		$27.45	$30.15	$37.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.19 / $78.78 / $91.23	Facility		$47.19	$78.78	$91.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $75.50 / $103.82	Professional		$59.57	$75.50	$103.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $73.73	Facility		$34.77	$34.77	$73.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $34.95 / $276.67	Professional		$25.38	$34.95	$276.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $40.11 / $50.13	Professional		$32.89	$40.11	$50.13
United Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $31.40 / $41.49	Professional		$20.93	$31.40	$41.49