Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.11 / $91.81 / $108.01	Facility		$74.11	$91.81	$108.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $104.62 / $151.41	Professional		$81.84	$104.62	$151.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $108.15 / $157.52	Professional		$90.92	$108.15	$157.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $122.40 / $122.40	Facility		$120.00	$122.40	$122.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $70.00 / $142.50	Professional		$45.60	$70.00	$142.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $106.94 / $149.72	Facility		$80.20	$106.94	$149.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $128.81 / $171.10	Professional		$98.05	$128.81	$171.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.15 / $187.15 / $187.15	Facility		$187.15	$187.15	$187.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $119.20 / $224.18	Professional		$83.10	$119.20	$224.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $89.14	Professional		$32.34	$32.34	$89.14
United Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $127.32 / $235.53	Professional		$93.94	$127.32	$235.53