Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.29 / $84.39 / $106.36	Facility		$63.29	$84.39	$106.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $100.44 / $157.69	Professional		$67.66	$100.44	$157.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $97.47 / $142.38	Professional		$57.00	$97.47	$142.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $75.31 / $143.83	Professional		$61.96	$75.31	$143.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $101.50 / $132.28	Facility		$81.91	$101.50	$132.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $118.66 / $158.90	Professional		$93.99	$118.66	$158.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $128.44 / $226.04	Professional		$86.01	$128.44	$226.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $91.83 / $122.08	Professional		$76.53	$91.83	$122.08
United Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $132.25 / $200.32	Professional		$102.96	$132.25	$200.32