Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.39 / $339.14 / $848.75	Facility		$61.39	$339.14	$848.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $54.11 / $61.39	Professional		$53.71	$54.11	$61.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $93.58 / $93.58	Professional		$93.58	$93.58	$93.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $67.37 / $78.68	Facility		$46.60	$67.37	$78.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $61.18	Professional		$36.97	$36.97	$61.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $89.83 / $104.85	Facility		$74.86	$89.83	$104.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $91.74 / $149.72	Professional		$74.86	$91.74	$149.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $57.13 / $125.97	Facility		$48.66	$57.13	$125.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $89.83 / $360.83	Professional		$37.97	$89.83	$360.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $101.97 / $105.37	Professional		$41.17	$101.97	$105.37
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $61.18 / $101.97	Professional		$31.44	$61.18	$101.97