Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $213.80	Facility		$85.11	$117.49	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $288.40	Professional		$85.11	$134.90	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $199.53	Professional		$104.71	$128.82	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $144.54	Professional		$85.11	$104.71	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $112.20 / $162.18	Facility		$91.20	$112.20	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $186.21	Professional		$109.65	$141.25	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $151.36	Facility		$104.71	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $630.96	Professional		$89.13	$134.90	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $138.04	Professional		$75.86	$100.00	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $173.78	Professional		$83.18	$114.82	$173.78