Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $61.49 / $341.88	Facility		$61.49	$61.49	$341.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $61.49 / $70.16	Professional		$61.49	$61.49	$70.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $46.12 / $46.12	Professional		$46.12	$46.12	$46.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $75.53 / $75.58	Facility		$72.50	$75.53	$75.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $24.24 / $104.00	Professional		$21.08	$24.24	$104.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $30.38 / $30.38	Professional		$30.38	$30.38	$30.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $85.00	Facility		$65.33	$65.33	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $97.61	Professional		$65.33	$65.33	$97.61
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 $64.05 / $64.05 / $68.59	Professional		$64.05	$64.05	$68.59