Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $71.79 / $125.00	Facility		$53.85	$71.79	$125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $78.70 / $159.00	Professional		$53.85	$78.70	$159.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $89.70 / $107.06	Professional		$76.47	$89.70	$107.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $88.50 / $135.02	Professional		$66.65	$88.50	$135.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.47 / $97.71 / $122.35	Facility		$76.47	$97.71	$122.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $95.59 / $124.56	Professional		$76.47	$95.59	$124.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $94.44 / $94.44	Facility		$70.28	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $117.45 / $205.07	Professional		$76.50	$117.45	$205.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $99.41	Professional		$32.34	$32.34	$99.41
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $92.99 / $162.03	Professional		$83.18	$92.99	$162.03