Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.29 / $111.65 / $131.35	Facility		$88.29	$111.65	$131.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.51 / $123.75 / $167.75	Professional		$98.51	$123.75	$167.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $107.82 / $129.91	Professional		$88.57	$107.82	$129.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $350.00	Facility		$107.00	$107.00	$350.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $110.45 / $174.46	Professional		$92.63	$110.45	$174.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $128.09 / $179.33	Facility		$96.07	$128.09	$179.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.78 / $158.37 / $204.94	Professional		$118.78	$158.37	$204.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.16 / $224.16 / $224.16	Facility		$224.16	$224.16	$224.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.34 / $257.31	Professional		$100.00	$162.34	$257.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.58 / $112.29	Professional		$32.34	$75.58	$112.29
United Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $154.99 / $282.20	Professional		$105.98	$154.99	$282.20