Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $257.04	Professional		$63.10	$79.43	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $107.15	Professional		$38.02	$77.62	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $158.49	Professional		$40.74	$40.74	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $144.54	Facility		$77.62	$107.15	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $125.89	Professional		$77.62	$100.00	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $109.65 / $489.78	Professional		$39.81	$109.65	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $169.82	Professional		$77.62	$97.72	$169.82