Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $89.52 / $117.39	Facility		$63.43	$89.52	$117.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $93.95 / $186.69	Professional		$63.73	$93.95	$186.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $109.27 / $139.94	Professional		$90.73	$109.27	$139.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $105.54 / $147.52	Professional		$72.59	$105.54	$147.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.58 / $94.35 / $137.90	Facility		$72.58	$94.35	$137.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $119.68 / $160.27	Professional		$88.46	$119.68	$160.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $114.25 / $206.04	Professional		$74.40	$114.25	$206.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $86.91 / $121.36	Professional		$64.38	$86.91	$121.36
United Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $117.84 / $187.09	Professional		$94.70	$117.84	$187.09