Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $107.97 / $145.63	Facility		$81.59	$107.97	$145.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $117.88 / $161.75	Professional		$89.09	$117.88	$161.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $132.81 / $170.52	Professional		$117.15	$132.81	$170.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $119.72 / $119.72	Facility		$119.72	$119.72	$119.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $95.32 / $134.87	Professional		$72.95	$95.32	$134.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.38 / $100.51 / $140.71	Facility		$75.38	$100.51	$140.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $128.50 / $169.33	Professional		$99.07	$128.50	$169.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $134.00 / $211.99	Professional		$89.00	$134.00	$211.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $68.88 / $94.97	Professional		$32.34	$68.88	$94.97
United Facility/Professional Professional Modifier Low / Median / High Price $110.97 / $148.40 / $266.22	Professional		$110.97	$148.40	$266.22