Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $138.04	Facility		$63.10	$77.62	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $144.54	Professional		$58.88	$77.62	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $95.50	Professional		$66.07	$77.62	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $104.71	Professional		$67.61	$85.11	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $75.86 / $104.71	Facility		$56.23	$75.86	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $104.71	Professional		$64.57	$75.86	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $109.65 / $109.65	Facility		$77.62	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $436.52	Professional		$69.18	$100.00	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $109.65	Professional		$46.77	$64.57	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $125.89	Professional		$66.07	$85.11	$125.89