Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $63.04 / $107.82	Facility		$63.04	$63.04	$107.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.04 / $108.62	Professional		$56.23	$63.04	$108.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $78.34 / $92.17	Professional		$77.64	$78.34	$92.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $77.83 / $107.10	Professional		$66.15	$77.83	$107.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.79 / $86.05 / $106.86	Facility		$66.79	$86.05	$106.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $83.49 / $108.43	Professional		$66.79	$83.49	$108.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $82.84 / $82.84	Facility		$82.84	$82.84	$82.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $95.76 / $198.52	Professional		$68.15	$95.76	$198.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.83	Professional		$32.34	$32.34	$86.83
United Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $78.06 / $116.13	Professional		$63.20	$78.06	$116.13