Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $101.40 / $101.40	Facility		$101.40	$101.40	$101.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $104.54 / $290.27	Professional		$90.47	$104.54	$290.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $125.55 / $139.15	Professional		$108.61	$125.55	$139.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $133.11 / $183.93	Professional		$113.14	$133.11	$183.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $131.91 / $171.26	Facility		$107.04	$131.91	$171.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $133.80 / $171.26	Professional		$107.04	$133.80	$171.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $141.71 / $236.59	Professional		$108.57	$141.71	$236.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $139.15	Professional		$32.34	$32.34	$139.15
United Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $130.72 / $188.39	Professional		$99.28	$130.72	$188.39