Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.79 / $143.72 / $193.83	Facility		$107.79	$143.72	$193.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $145.66 / $239.38	Professional		$108.88	$145.66	$239.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $125.24 / $184.21	Professional		$93.93	$125.24	$184.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $130.00	Facility		$120.00	$120.00	$130.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $115.34 / $184.58	Professional		$83.39	$115.34	$184.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.59 / $140.78 / $197.09	Facility		$105.59	$140.78	$197.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $174.95 / $228.10	Professional		$130.97	$174.95	$228.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.37 / $246.37 / $246.37	Facility		$246.37	$246.37	$246.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $145.96 / $253.29	Professional		$73.00	$145.96	$253.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $90.67 / $129.53	Professional		$32.34	$90.67	$129.53
United Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $164.44 / $282.81	Professional		$108.88	$164.44	$282.81