Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $389.05	Professional		$102.33	$131.83	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $169.82	Professional		$112.20	$131.83	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $181.97	Professional		$125.89	$147.91	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $194.98	Facility		$104.71	$141.25	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $194.98	Professional		$112.20	$144.54	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.17 / $204.17	Facility		$144.54	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $616.60	Professional		$120.23	$173.78	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $218.78	Professional		$117.49	$147.91	$218.78