Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $71.09 / $141.84	Facility		$63.47	$71.09	$141.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $74.73 / $419.00	Professional		$66.97	$74.73	$419.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $54.24 / $54.24	Professional		$54.24	$54.24	$54.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $80.30 / $120.00	Professional		$68.25	$80.30	$120.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $58.58 / $92.93	Facility		$25.40	$58.58	$92.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $37.93 / $92.93	Professional		$26.44	$37.93	$92.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $83.14 / $83.14	Facility		$83.14	$83.14	$83.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $104.72 / $171.30	Professional		$69.19	$104.72	$171.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $63.94	Professional		$32.34	$32.34	$63.94
United Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $81.62 / $120.18	Professional		$67.01	$81.62	$120.18