Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.23 / $128.30 / $183.42	Facility		$99.23	$128.30	$183.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $136.93 / $264.08	Professional		$98.34	$136.93	$264.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $156.00 / $197.12	Professional		$119.20	$156.00	$197.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $141.41 / $209.22	Professional		$98.16	$141.41	$209.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.09 / $158.75 / $255.13	Facility		$115.09	$158.75	$255.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $158.75 / $228.80	Professional		$110.84	$158.75	$228.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $163.99 / $286.89	Professional		$114.87	$163.99	$286.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $127.74 / $172.44	Professional		$101.40	$127.74	$172.44
United Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $164.32 / $276.92	Professional		$135.38	$164.32	$276.92