Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.16 / $77.55 / $109.84	Facility		$58.16	$77.55	$109.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $88.27 / $124.50	Professional		$65.83	$88.27	$124.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $112.28 / $127.34	Professional		$89.39	$112.28	$127.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $91.03 / $91.03	Facility		$91.03	$91.03	$91.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $71.95 / $100.43	Professional		$55.91	$71.95	$100.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $71.67 / $100.34	Facility		$53.75	$71.67	$100.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $96.12 / $127.34	Professional		$72.09	$96.12	$127.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $125.42	Facility		$125.42	$125.42	$125.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $102.00 / $164.25	Professional		$69.00	$102.00	$164.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $52.79 / $73.56	Professional		$32.34	$52.79	$73.56
United Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $113.20 / $197.68	Professional		$87.32	$113.20	$197.68