Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $64.45 / $77.30	Facility		$51.92	$64.45	$77.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $70.66 / $97.13	Professional		$55.09	$70.66	$97.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.95 / $98.95 / $98.95	Professional		$98.95	$98.95	$98.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $64.64 / $82.74	Professional		$48.48	$64.64	$82.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $75.28 / $100.37	Facility		$58.65	$75.28	$100.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $87.82 / $141.13	Professional		$56.46	$87.82	$141.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $109.78 / $109.78	Facility		$109.78	$109.78	$109.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $84.00 / $148.88	Professional		$55.00	$84.00	$148.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.26 / $63.65	Professional		$32.34	$46.26	$63.65
United Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $93.98 / $169.20	Professional		$71.59	$93.98	$169.20