Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $69.43 / $81.68	Facility		$55.30	$69.43	$81.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $83.17 / $129.97	Professional		$61.90	$83.17	$129.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $89.50 / $118.93	Professional		$69.20	$89.50	$118.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $81.06 / $81.06	Facility		$81.06	$81.06	$81.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $38.63 / $107.97	Professional		$27.89	$38.63	$107.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.11 / $80.14 / $112.20	Facility		$60.11	$80.14	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $98.35 / $128.22	Professional		$73.84	$98.35	$128.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $140.25 / $140.25	Facility		$140.25	$140.25	$140.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $88.03 / $161.56	Professional		$53.00	$88.03	$161.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $67.13	Professional		$32.34	$32.34	$67.13
United Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $91.04 / $179.37	Professional		$65.92	$91.04	$179.37