Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $101.58 / $119.51	Facility		$81.86	$101.58	$119.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $109.75 / $148.84	Professional		$87.93	$109.75	$148.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $129.22 / $158.63	Professional		$84.98	$129.22	$158.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.68 / $110.68 / $110.68	Facility		$110.68	$110.68	$110.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $92.41 / $127.73	Professional		$74.23	$92.41	$127.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $103.38 / $144.72	Facility		$77.54	$103.38	$144.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $124.17 / $164.30	Professional		$93.48	$124.17	$164.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $180.92 / $180.92	Facility		$180.92	$180.92	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $119.00 / $205.15	Professional		$83.51	$119.00	$205.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $63.88 / $89.87	Professional		$32.34	$63.88	$89.87
United Facility/Professional Professional Modifier Low / Median / High Price $98.07 / $132.33 / $242.08	Professional		$98.07	$132.33	$242.08