Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $85.68 / $109.25	Facility		$59.59	$85.68	$109.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $91.99 / $255.85	Professional		$57.45	$91.99	$255.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $106.05 / $138.75	Professional		$54.40	$106.05	$138.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $99.42 / $141.35	Professional		$66.69	$99.42	$141.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $87.91 / $128.47	Facility		$67.62	$87.91	$128.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $113.98 / $152.63	Professional		$83.68	$113.98	$152.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $107.56 / $193.06	Professional		$68.48	$107.56	$193.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $78.58 / $106.08	Professional		$60.43	$78.58	$106.08
United Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $108.19 / $173.58	Professional		$89.52	$108.19	$173.58