Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $95.20 / $116.13	Facility		$72.12	$95.20	$116.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $102.53 / $156.24	Professional		$72.12	$102.53	$156.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $93.79 / $129.30	Professional		$88.00	$93.79	$129.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $96.26 / $146.10	Professional		$81.81	$96.26	$146.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.36 / $119.31 / $147.78	Facility		$92.36	$119.31	$147.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $115.45 / $147.78	Professional		$92.36	$115.45	$147.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.47 / $113.69 / $113.69	Facility		$102.47	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $143.83 / $228.98	Professional		$98.78	$143.83	$228.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $89.70 / $129.30	Professional		$56.06	$89.70	$129.30
United Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $122.27 / $186.37	Professional		$96.57	$122.27	$186.37