Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $89.88 / $124.41	Facility		$67.27	$89.88	$124.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $95.68 / $186.37	Professional		$65.06	$95.68	$186.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $111.17 / $145.46	Professional		$87.20	$111.17	$145.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $102.04 / $147.41	Professional		$72.59	$102.04	$147.41
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 $88.49 / $119.49 / $160.01	Professional		$88.49	$119.49	$160.01
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 $75.86 / $111.96 / $193.66	Professional		$75.86	$111.96	$193.66
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 $91.81 / $113.84 / $195.49	Professional		$91.81	$113.84	$195.49