Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $83.69 / $85.32	Facility		$83.69	$83.69	$85.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $86.79 / $843.00	Professional		$77.62	$86.79	$843.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $79.23 / $84.78	Professional		$73.68	$79.23	$84.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $233.00 / $522.00	Facility		$181.00	$233.00	$522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $74.08 / $114.53	Professional		$62.96	$74.08	$114.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $99.04 / $126.77	Facility		$79.23	$99.04	$126.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $99.04 / $126.77	Professional		$79.23	$99.04	$126.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $96.79 / $264.00	Facility		$96.79	$96.79	$264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $95.62 / $155.15	Professional		$71.16	$95.62	$155.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $103.00	Professional		$32.34	$32.34	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $87.29 / $154.69	Professional		$66.27	$87.29	$154.69