Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $25.77 / $43.81	Facility		$23.93	$25.77	$43.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $25.77 / $28.96	Professional		$25.76	$25.77	$28.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $57.34 / $57.34	Professional		$57.34	$57.34	$57.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $30.39 / $51.54	Facility		$29.17	$30.39	$51.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $25.77 / $25.77	Professional		$23.19	$25.77	$25.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $28.35 / $41.23	Facility		$23.93	$28.35	$41.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.06 / $37.36	Professional		$25.77	$27.06	$37.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $62.57 / $62.57	Facility		$25.77	$62.57	$62.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $25.77 / $32.78	Professional		$25.13	$25.77	$32.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $26.94 / $35.02	Professional		$24.88	$26.94	$35.02
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.32 / $28.69	Professional		$25.77	$27.32	$28.69