Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $109.65 / $630.96	Facility		$57.54	$109.65	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $338.84	Professional		$51.29	$72.44	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $134.90	Professional		$42.66	$58.88	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $102.33	Professional		$58.88	$61.66	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $44.67 / $75.86	Facility		$19.50	$44.67	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $28.18	Professional		$17.78	$23.99	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $95.50 / $131.83	Facility		$69.18	$95.50	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $457.09	Professional		$58.88	$102.33	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $109.65	Professional		$54.95	$72.44	$109.65