Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.15 / $102.15 / $553.04	Facility		$102.15	$102.15	$553.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $102.15 / $125.29	Professional		$91.05	$102.15	$125.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $140.60 / $140.60	Professional		$140.60	$140.60	$140.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $108.17 / $151.97	Professional		$91.94	$108.17	$151.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.44 / $140.60 / $162.19	Facility		$102.44	$140.60	$162.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $140.60 / $200.86	Professional		$110.98	$140.60	$200.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.07 / $122.02 / $122.02	Facility		$101.07	$122.02	$122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $143.68 / $215.39	Professional		$98.58	$143.68	$215.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.47	Professional		$32.34	$32.34	$110.47
United Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $108.03 / $154.88	Professional		$90.46	$108.03	$154.88