Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $70.84 / $72.22	Facility		$70.84	$70.84	$72.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $72.22 / $125.27	Professional		$64.43	$72.22	$125.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $66.45 / $91.33	Professional		$61.81	$66.45	$91.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $70.70 / $97.96	Professional		$60.10	$70.70	$97.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $81.84 / $104.88	Facility		$65.55	$81.84	$104.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $81.94 / $104.88	Professional		$65.55	$81.94	$104.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $446.00 / $827.00	Facility		$80.95	$446.00	$827.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $83.73 / $136.44	Professional		$66.26	$83.73	$136.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $85.22	Professional		$32.34	$32.34	$85.22
United Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $840.00 / $900.00	Facility		$423.00	$840.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $76.16 / $136.99	Professional		$62.31	$76.16	$136.99