Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.77 / $85.18 / $107.09	Facility		$73.77	$85.18	$107.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $94.93 / $158.85	Professional		$76.59	$94.93	$158.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $111.58 / $132.52	Professional		$88.05	$111.58	$132.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $150.00	Facility		$126.00	$126.00	$150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $75.86 / $101.53	Professional		$59.44	$75.86	$101.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.94 / $85.25 / $119.35	Facility		$63.94	$85.25	$119.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $103.82 / $136.40	Professional		$77.87	$103.82	$136.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $100.00 / $192.84	Professional		$67.00	$100.00	$192.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.90	Professional		$32.34	$32.34	$74.90
United Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $104.88 / $194.49	Professional		$76.89	$104.88	$194.49