Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $80.33 / $104.88	Facility		$70.36	$80.33	$104.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $94.80 / $149.31	Professional		$74.17	$94.80	$149.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $90.54 / $106.24	Professional		$70.92	$90.54	$106.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $126.00 / $126.00	Facility		$117.00	$126.00	$126.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $88.33 / $139.57	Professional		$70.06	$88.33	$139.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $100.90 / $141.26	Facility		$75.68	$100.90	$141.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $111.30 / $146.31	Professional		$83.47	$111.30	$146.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $106.94 / $196.98	Professional		$65.00	$106.94	$196.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.45 / $78.18	Professional		$32.34	$39.45	$78.18
United Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $116.25 / $212.36	Professional		$87.18	$116.25	$212.36