Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.16 / $73.69 / $104.39	Facility		$58.16	$73.69	$104.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $80.69 / $113.53	Professional		$63.08	$80.69	$113.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $81.27 / $112.66	Professional		$60.35	$81.27	$112.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $79.81 / $79.81	Facility		$79.81	$79.81	$79.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $70.34 / $91.18	Professional		$53.23	$70.34	$91.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $71.39 / $99.95	Facility		$53.54	$71.39	$99.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $88.35 / $114.55	Professional		$66.39	$88.35	$114.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $124.93 / $124.93	Facility		$124.93	$124.93	$124.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $91.00 / $156.30	Professional		$62.00	$91.00	$156.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.63 / $68.47	Professional		$32.34	$47.63	$68.47
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $98.52 / $184.60	Professional		$75.06	$98.52	$184.60