Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $97.72 / $151.36	Facility		$74.13	$97.72	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $208.93	Professional		$75.86	$109.65	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $199.53	Professional		$102.33	$128.82	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $147.91	Professional		$79.43	$93.33	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $177.83	Facility		$104.71	$141.25	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $169.82	Professional		$104.71	$131.83	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $537.03	Professional		$95.50	$165.96	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $177.83	Professional		$91.20	$109.65	$177.83