Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.20 / $68.89 / $106.23	Facility		$58.20	$68.89	$106.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $72.23 / $109.51	Professional		$58.20	$72.23	$109.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $78.90 / $85.67	Professional		$78.90	$78.90	$85.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $88.65 / $120.45	Professional		$67.27	$88.65	$120.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $81.06 / $105.22	Facility		$65.15	$81.06	$105.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $92.06 / $131.52	Professional		$69.54	$92.06	$131.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Facility		$94.69	$94.69	$94.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $98.57 / $163.12	Professional		$68.34	$98.57	$163.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $74.80 / $102.08	Professional		$62.34	$74.80	$102.08
United Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $101.01 / $152.32	Professional		$76.68	$101.01	$152.32