Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.75 / $82.75 / $122.33	Facility		$82.75	$82.75	$122.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $97.68 / $122.33	Professional		$79.64	$97.68	$122.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $114.57 / $167.99	Professional		$113.82	$114.57	$167.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $170.91 / $171.85	Professional		$139.97	$170.91	$171.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $25.00 / $294.02	Facility		$15.82	$25.00	$294.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $28.45 / $283.88	Professional		$17.23	$28.45	$283.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $245.18	Facility		$129.12	$129.12	$245.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $201.27	Professional		$109.75	$129.12	$201.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $100.00 / $123.16	Professional		$92.37	$100.00	$123.16
United Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $93.72 / $171.85	Professional		$59.92	$93.72	$171.85