Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $30.36 / $86.90	Facility		$26.44	$30.36	$86.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $35.95 / $98.59	Professional		$28.40	$35.95	$98.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $57.45 / $72.03	Professional		$38.59	$57.45	$72.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $33.63 / $35.14	Professional		$21.22	$33.63	$35.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $72.03 / $84.89	Facility		$51.45	$72.03	$84.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $66.89 / $84.89	Professional		$51.45	$66.89	$84.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $149.38	Professional		$20.99	$20.99	$149.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $51.45	Professional		$45.00	$45.00	$51.45
United Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $25.66 / $33.90	Professional		$17.11	$25.66	$33.90