Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $83.09 / $122.53	Facility		$62.97	$83.09	$122.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $92.29 / $159.02	Professional		$69.53	$92.29	$159.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $76.70 / $126.07	Professional		$56.86	$76.70	$126.07
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 $64.58 / $78.40 / $115.99	Professional		$64.58	$78.40	$115.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $89.52 / $125.33	Facility		$67.14	$89.52	$125.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $109.29 / $143.22	Professional		$83.45	$109.29	$143.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $156.66 / $156.66	Facility		$156.66	$156.66	$156.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $88.28 / $153.41	Professional		$63.00	$88.28	$153.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.10 / $75.86	Professional		$32.34	$53.10	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $97.42 / $184.10	Professional		$71.23	$97.42	$184.10