Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $389.05 / $851.14	Facility		$81.28	$389.05	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $257.04	Professional		$81.28	$85.11	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $346.74	Professional		$87.10	$147.91	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $100.00 / $100.00	Facility		$95.50	$100.00	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $120.23	Professional		$85.11	$100.00	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $173.78	Facility		$134.90	$144.54	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $162.18	Professional		$100.00	$128.82	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $162.18 / $162.18	Facility		$87.10	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $457.09 / $457.09	Professional		$87.10	$457.09	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $91.20	Professional		$85.11	$85.11	$91.20