Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.90 / $132.03 / $147.57	Facility		$129.90	$132.03	$147.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $133.00 / $209.04	Professional		$123.88	$133.00	$209.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $159.65 / $171.93	Professional		$115.16	$159.65	$171.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.30 / $105.40 / $150.83	Professional		$88.30	$105.40	$150.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.74 / $147.37 / $196.50	Facility		$121.74	$147.37	$196.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $156.00 / $199.68	Professional		$124.80	$156.00	$199.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $214.92 / $214.92	Facility		$214.92	$214.92	$214.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $177.91 / $283.70	Professional		$109.07	$177.91	$283.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $81.23 / $112.65	Professional		$32.34	$81.23	$112.65
United Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $174.01 / $272.66	Professional		$125.70	$174.01	$272.66