Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $89.66 / $498.51	Facility		$89.66	$89.66	$498.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $89.66 / $102.33	Professional		$89.66	$89.66	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $67.25 / $67.25	Professional		$67.25	$67.25	$67.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.21 / $117.93 / $118.00	Facility		$113.21	$117.93	$118.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $128.88 / $272.64	Professional		$96.66	$128.88	$272.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Facility		$129.47	$129.47	$129.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $129.47 / $125,998.74	Professional		$90.40	$129.47	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $142.34	Professional		$95.27	$95.27	$142.34
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 $100.00 / $100.00 / $107.10	Professional		$100.00	$100.00	$107.10