Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $63.34 / $139.60	Facility		$47.50	$63.34	$139.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $66.34 / $110.00	Professional		$52.42	$66.34	$110.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $57.67 / $80.48	Professional		$45.81	$57.67	$80.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $126.00 / $130.00	Facility		$120.00	$126.00	$130.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $51.42 / $85.31	Professional		$37.71	$51.42	$85.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $67.87 / $95.02	Facility		$50.90	$67.87	$95.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $83.99 / $108.59	Professional		$63.24	$83.99	$108.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $118.77 / $118.77	Facility		$118.77	$118.77	$118.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $65.43 / $116.67	Professional		$40.00	$65.43	$116.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.25 / $57.50	Professional		$32.34	$40.25	$57.50
United Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $72.29 / $137.78	Professional		$53.84	$72.29	$137.78