Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.07 / $107.56 / $109.65	Facility		$57.07	$107.56	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $108.04 / $114.11	Professional		$73.42	$108.04	$114.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $99.59 / $99.59	Professional		$99.59	$99.59	$99.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $73.63 / $86.63	Professional		$43.14	$73.63	$86.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.59 / $134.44 / $149.12	Facility		$99.59	$134.44	$149.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $129.47 / $199.18	Professional		$99.59	$129.47	$199.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $132.72 / $132.72	Facility		$44.42	$132.72	$132.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $76.80 / $138.18	Professional		$43.55	$76.80	$138.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $129.47	Professional		$32.34	$32.34	$129.47
United Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $90.52 / $186.16	Professional		$45.10	$90.52	$186.16