Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.35 / $100.27 / $112.59	Facility		$99.35	$100.27	$112.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $101.72 / $164.39	Professional		$94.99	$101.72	$164.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $136.91 / $136.91	Professional		$104.48	$136.91	$136.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $80.42 / $118.72	Professional		$67.48	$80.42	$118.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $132.99 / $156.46	Facility		$96.49	$132.99	$156.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $136.91 / $195.58	Professional		$97.79	$136.91	$195.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.13 / $171.13 / $171.13	Facility		$171.13	$171.13	$171.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $136.35 / $216.69	Professional		$83.04	$136.35	$216.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.98 / $85.94	Professional		$32.34	$61.98	$85.94
United Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $126.00 / $207.60	Professional		$95.49	$126.00	$207.60