Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $28.62 / $6,271.41	Facility		$27.99	$28.62	$6,271.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $8,136.00	Professional		$27.99	$27.99	$8,136.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $41.99 / $41.99	Professional		$41.99	$41.99	$41.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $33.01 / $55.98	Facility		$31.69	$33.01	$55.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $27.99 / $28.62	Professional		$25.19	$27.99	$28.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $30.79 / $44.78	Facility		$27.99	$30.79	$44.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.39 / $40.59	Professional		$27.99	$29.39	$40.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $82.36 / $82.36	Facility		$27.99	$82.36	$82.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $33.49	Professional		$27.99	$27.99	$33.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $27.99 / $32.40	Professional		$24.93	$27.99	$32.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.67 / $31.35	Professional		$27.99	$29.67	$31.35