Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.25 / $105.25 / $105.25	Facility		$105.25	$105.25	$105.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $112.62 / $229.62	Professional		$94.14	$112.62	$229.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.29 / $130.35 / $153.35	Professional		$129.29	$130.35	$153.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.75 / $149.00 / $185.64	Professional		$111.75	$149.00	$185.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $136.94 / $177.79	Facility		$111.12	$136.94	$177.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $138.90 / $177.79	Professional		$111.12	$138.90	$177.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $147.52 / $249.62	Professional		$113.08	$147.52	$249.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.46	Professional		$32.34	$32.34	$144.46
United Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $135.53 / $193.44	Professional		$97.82	$135.53	$193.44