Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $109.65 / $251.19	Facility		$33.88	$109.65	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $181.97	Professional		$38.90	$107.15	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $109.65 / $186.21	Professional		$39.81	$109.65	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $43.65 / $61.66	Facility		$35.48	$43.65	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $60.26	Professional		$34.67	$47.86	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $144.54	Facility		$66.07	$66.07	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $134.90 / $1,023.29	Professional		$43.65	$134.90	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $95.50 / $190.55	Professional		$38.90	$95.50	$190.55