Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $131.83	Facility		$89.13	$112.20	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $208.93	Professional		$97.72	$125.89	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $173.78	Professional		$95.50	$117.49	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $158.49	Professional		$85.11	$109.65	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $177.83	Facility		$95.50	$128.82	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $199.53	Professional		$114.82	$154.88	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $707.95	Professional		$100.00	$186.21	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $75.86 / $107.15	Professional		$32.36	$75.86	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $269.15	Professional		$107.15	$151.36	$269.15