Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $95.50 / $151.36	Facility		$79.43	$95.50	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $199.53	Professional		$77.62	$120.23	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $131.83	Professional		$63.10	$100.00	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $154.88	Professional		$81.28	$95.50	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $154.88	Facility		$93.33	$123.03	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $147.91	Professional		$93.33	$114.82	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $154.88	Facility		$100.00	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $467.74	Professional		$100.00	$181.97	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $100.00	Professional		$56.23	$77.62	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $194.98	Professional		$95.50	$120.23	$194.98