Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $338.66 / $853.39	Facility		$81.86	$338.66	$853.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $81.86 / $116.08	Professional		$81.86	$81.86	$116.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $94.14 / $138.44	Professional		$94.14	$94.14	$138.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $100.55 / $100.62	Facility		$96.53	$100.55	$100.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $100.88 / $119.70	Professional		$85.74	$100.88	$119.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $139.01 / $163.83	Facility		$103.14	$139.01	$163.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $124.11 / $198.58	Professional		$99.29	$124.11	$198.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $129.96	Professional		$86.98	$86.98	$129.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $91.32	Professional		$85.27	$85.27	$91.32