Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $92.05 / $129.06	Facility		$69.44	$92.05	$129.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $102.96 / $260.80	Professional		$69.44	$102.96	$260.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $112.47 / $149.74	Professional		$85.57	$112.47	$149.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $97.10 / $150.58	Professional		$71.31	$97.10	$150.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.72 / $103.64 / $148.82	Facility		$79.72	$103.64	$148.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $123.00 / $164.72	Professional		$95.66	$123.00	$164.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $114.97 / $187.06	Professional		$77.00	$114.97	$187.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $84.80 / $114.48	Professional		$70.22	$84.80	$114.48
United Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $114.33 / $193.35	Professional		$92.13	$114.33	$193.35