Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.25 / $87.55 / $120.56	Facility		$77.25	$87.55	$120.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $96.34 / $167.32	Professional		$77.25	$96.34	$167.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $137.00 / $153.44	Professional		$109.60	$137.00	$153.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $90.00 / $138.44	Professional		$71.91	$90.00	$138.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $141.22 / $175.36	Facility		$109.60	$141.22	$175.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $137.00 / $178.10	Professional		$109.60	$137.00	$178.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $135.36 / $135.36	Facility		$82.42	$135.36	$135.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $125.14 / $235.73	Professional		$90.30	$125.14	$235.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $142.47	Professional		$32.34	$32.34	$142.47
United Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $110.98 / $166.16	Professional		$86.81	$110.98	$166.16