Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $95.50 / $199.53	Facility		$38.90	$95.50	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $363.08	Professional		$117.49	$147.91	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $154.88	Professional		$100.00	$128.82	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $141.25	Professional		$89.13	$91.20	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $128.82 / $208.93	Facility		$47.86	$128.82	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $104.71 / $186.21	Professional		$47.86	$104.71	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $245.47 / $245.47	Facility		$107.15	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $741.31	Professional		$131.83	$239.88	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $64.57	Professional		$44.67	$44.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $239.88	Professional		$131.83	$158.49	$239.88