Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.16 / $118.00 / $170.82	Facility		$92.16	$118.00	$170.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $136.54 / $311.08	Professional		$92.16	$136.54	$311.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.21 / $136.82 / $191.55	Professional		$112.21	$136.82	$191.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $134.75 / $194.66	Professional		$89.84	$134.75	$194.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.61 / $137.29 / $200.66	Facility		$105.61	$137.29	$200.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.73 / $157.34 / $211.22	Professional		$126.73	$157.34	$211.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $150.00 / $264.89	Professional		$105.06	$150.00	$264.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $116.70 / $157.54	Professional		$73.31	$116.70	$157.54
United Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $151.93 / $255.15	Professional		$122.78	$151.93	$255.15