Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $365.76 / $1,306.78	Facility		$102.48	$365.76	$1,306.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $102.48 / $133.96	Professional		$102.48	$102.48	$133.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.81 / $97.81 / $113.47	Professional		$97.81	$97.81	$113.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $108.89	Professional		$75.00	$75.00	$108.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.74 / $158.86 / $187.23	Facility		$115.74	$158.86	$187.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $147.51 / $226.94	Professional		$113.47	$147.51	$226.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $109.99 / $134.29	Facility		$109.99	$109.99	$134.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $109.99 / $562.83	Professional		$102.48	$109.99	$562.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.45 / $103.45 / $139.65	Professional		$103.45	$103.45	$139.65
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $450.58	Professional		$450.58	$450.58	$450.58