Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.62 / $122.62 / $122.62	Facility		$122.62	$122.62	$122.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $127.17 / $330.10	Professional		$110.41	$127.17	$330.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $180.44 / $180.44	Professional		$132.33	$180.44	$180.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $157.91 / $229.04	Professional		$134.22	$157.91	$229.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.58 / $160.82 / $196.13	Facility		$122.58	$160.82	$196.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.81 / $169.98 / $261.50	Professional		$127.81	$169.98	$261.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $173.57 / $282.70	Professional		$132.62	$173.57	$282.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $169.98	Professional		$32.34	$32.34	$169.98
United Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $156.50 / $227.75	Professional		$119.24	$156.50	$227.75