Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.08 / $69.43 / $206.33	Facility		$52.08	$69.43	$206.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $72.09 / $113.75	Professional		$52.08	$72.09	$113.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $96.54 / $104.66	Professional		$74.76	$96.54	$104.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $70.20 / $103.32	Professional		$54.56	$70.20	$103.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.76 / $96.54 / $119.62	Facility		$74.76	$96.54	$119.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $93.45 / $121.76	Professional		$74.76	$93.45	$121.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $91.96 / $91.96	Facility		$71.34	$91.96	$91.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $86.38 / $152.15	Professional		$65.61	$86.38	$152.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $97.19	Professional		$32.34	$32.34	$97.19
United Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $78.65 / $115.34	Professional		$61.94	$78.65	$115.34