Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $93.11 / $124.41	Facility		$67.27	$93.11	$124.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $99.01 / $191.83	Professional		$64.83	$99.01	$191.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $91.93 / $151.41	Professional		$90.00	$91.93	$151.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $107.59 / $152.21	Professional		$72.59	$107.59	$152.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $100.04 / $146.21	Facility		$76.95	$100.04	$146.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $124.37 / $166.55	Professional		$92.34	$124.37	$166.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $117.76 / $205.32	Professional		$77.63	$117.76	$205.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $89.90 / $121.36	Professional		$68.26	$89.90	$121.36
United Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $120.13 / $195.27	Professional		$96.91	$120.13	$195.27