Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $138.04 / $263.03	Facility		$66.07	$138.04	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $269.15	Professional		$57.54	$91.20	$269.15
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $151.36 / $208.93 / $239.88	Professional	CQ	$151.36	$208.93	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $120.23	Facility		$81.28	$81.28	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $138.04	Facility		$87.10	$109.65	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $134.90	Professional		$91.20	$109.65	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $162.18 / $162.18	Facility		$63.10	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $467.74	Professional		$54.95	$107.15	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $104.71	Professional		$63.10	$75.86	$104.71