Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $204.17	Professional		$58.88	$85.11	$204.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $75.86 / $75.86	Professional	52	$57.54	$75.86	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $93.33	Professional		$61.66	$83.18	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $131.83	Professional		$70.79	$83.18	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $104.71	Professional		$61.66	$74.13	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $457.09	Professional		$74.13	$134.90	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $147.91	Professional		$64.57	$109.65	$147.91