Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.54 / $115.54 / $115.54	Facility		$115.54	$115.54	$115.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $119.32 / $202.40	Professional		$102.97	$119.32	$202.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $123.78 / $123.78	Professional		$123.78	$123.78	$123.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $148.60 / $190.08	Professional		$117.28	$148.60	$190.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.71 / $150.80 / $195.76	Facility		$114.71	$150.80	$195.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $159.06 / $244.70	Professional		$119.60	$159.06	$244.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $164.26 / $283.85	Professional		$124.65	$164.26	$283.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.06	Professional		$32.34	$32.34	$159.06
United Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $150.13 / $218.39	Professional		$116.22	$150.13	$218.39