Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.87 / $165.38 / $165.38	Facility		$111.87	$165.38	$165.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.87 / $143.10 / $167.40	Professional		$111.87	$143.10	$167.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $164.86 / $280.10	Professional		$20.21	$164.86	$280.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $29.11 / $70.75	Facility		$21.54	$29.11	$70.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $28.03 / $63.43	Professional		$21.56	$28.03	$63.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $147.10 / $234.66	Facility		$28.95	$147.10	$234.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $147.10	Professional		$107.38	$125.04	$147.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $20.96 / $168.84	Professional		$16.07	$20.96	$168.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $14.72 / $27.26	Professional		$8.06	$14.72	$27.26