Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.04 / $105.13 / $147.15	Facility		$79.04	$105.13	$147.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $110.65 / $218.21	Professional		$76.43	$110.65	$218.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $155.00 / $182.79	Professional		$102.40	$155.00	$182.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $119.36 / $173.16	Professional		$81.86	$119.36	$173.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $118.22 / $172.79	Facility		$90.94	$118.22	$172.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $140.13 / $187.66	Professional		$109.13	$140.13	$187.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $134.04 / $227.13	Professional		$88.42	$134.04	$227.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $101.22 / $136.64	Professional		$80.42	$101.22	$136.64
United Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $130.87 / $224.46	Professional		$107.38	$130.87	$224.46