Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.97 / $108.56 / $150.88	Facility		$93.97	$108.56	$150.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $123.82 / $167.18	Professional		$95.37	$123.82	$167.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $132.49 / $160.85	Professional		$110.83	$132.49	$160.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.60 / $116.60 / $116.60	Facility		$116.60	$116.60	$116.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $105.78 / $138.88	Professional		$84.62	$105.78	$138.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $139.35 / $169.29	Facility		$106.00	$139.35	$169.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.83 / $152.33 / $226.12	Professional		$102.83	$152.33	$226.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $144.62 / $259.61	Professional		$97.00	$144.62	$259.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $64.89 / $92.70	Professional		$32.34	$64.89	$92.70
United Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $156.90 / $274.91	Professional		$112.31	$156.90	$274.91