Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $41.68 / $43.35	Facility		$29.08	$41.68	$43.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $39.22 / $44.49	Professional		$37.21	$39.22	$44.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $60.00 / $65.69	Professional		$59.99	$60.00	$65.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $87.58 / $92.05	Facility		$54.52	$87.58	$92.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $48.04 / $52.34	Professional		$39.00	$48.04	$52.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $115.99 / $131.97	Facility		$65.69	$115.99	$131.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $105.10 / $144.51	Professional		$83.20	$105.10	$144.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $104.78	Facility		$51.74	$51.74	$104.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $50.63 / $439.15	Professional		$37.77	$50.63	$439.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $55.81 / $69.76	Professional		$45.76	$55.81	$69.76
United Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $43.69 / $61.07	Professional		$29.13	$43.69	$61.07