Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $128.59 / $152.61	Facility		$96.45	$128.59	$152.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $145.31 / $242.78	Professional		$103.12	$145.31	$242.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $157.65 / $206.28	Professional		$100.00	$157.65	$206.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $111.23 / $217.96	Professional		$91.46	$111.23	$217.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.08 / $152.93 / $200.39	Facility		$124.08	$152.93	$200.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.11 / $173.71 / $226.90	Professional		$137.11	$173.71	$226.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $192.00 / $330.98	Professional		$132.84	$192.00	$330.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.37 / $134.63 / $173.09	Professional		$121.37	$134.63	$173.09
United Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $196.06 / $299.39	Professional		$152.91	$196.06	$299.39