Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $165.96	Facility		$77.62	$102.33	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $218.78	Professional		$77.62	$112.20	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $204.17	Professional		$102.33	$125.89	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $144.54	Professional		$74.13	$95.50	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $181.97	Facility		$109.65	$147.91	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $173.78	Professional		$112.20	$138.04	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $181.97	Facility		$107.15	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $549.54	Professional		$95.50	$177.83	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $177.83	Professional		$87.10	$109.65	$177.83