Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $90.02 / $120.02	Facility		$65.65	$90.02	$120.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $102.13 / $150.87	Professional		$67.81	$102.13	$150.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $106.67 / $125.49	Professional		$106.67	$106.67	$125.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $100.61 / $141.31	Professional		$65.33	$100.61	$141.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.36 / $95.14 / $133.19	Facility		$71.36	$95.14	$133.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.71 / $133.19 / $176.94	Professional		$100.71	$133.19	$176.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Facility		$137.00	$137.00	$137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $128.00 / $240.75	Professional		$77.81	$128.00	$240.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $97.56	Professional		$32.34	$32.34	$97.56
United Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $135.85 / $207.62	Professional		$104.50	$135.85	$207.62