Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $109.65	Facility		$57.54	$69.18	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $154.88	Professional		$53.70	$100.00	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $67.61 / $91.20	Professional		$31.62	$67.61	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $112.20	Professional		$67.61	$79.43	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $109.65	Facility		$66.07	$87.10	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $104.71	Professional		$66.07	$81.28	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $109.65 / $109.65	Facility		$69.18	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $331.13	Professional		$70.79	$120.23	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $75.86	Professional		$41.69	$57.54	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $128.82	Professional		$63.10	$79.43	$128.82