Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.03 / $58.64 / $92.69	Facility		$58.03	$58.64	$92.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $59.15 / $76.83	Professional		$53.08	$59.15	$76.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $56.30 / $56.30	Professional		$56.30	$56.30	$56.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $58.12 / $83.51	Professional		$42.84	$58.12	$83.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.51 / $62.01 / $80.73	Facility		$46.51	$62.01	$80.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $70.09 / $88.97	Professional		$48.53	$70.09	$88.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.36 / $94.36 / $94.36	Facility		$94.36	$94.36	$94.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $61.09 / $121.51	Professional		$38.00	$61.09	$121.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $29.56 / $39.58	Professional		$23.19	$29.56	$39.58
United Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $75.95 / $127.34	Professional		$53.81	$75.95	$127.34