Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $103.04 / $152.32	Facility		$103.04	$103.04	$152.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $116.77 / $152.32	Professional		$95.90	$116.77	$152.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $137.69 / $137.69	Professional		$137.69	$137.69	$137.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $206.36 / $206.90	Professional		$154.77	$206.36	$206.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $31.65 / $382.98	Facility		$19.64	$31.65	$382.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $35.15 / $416.35	Professional		$21.83	$35.15	$416.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $295.19	Facility		$123.98	$123.98	$295.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $123.98 / $242.32	Professional		$105.38	$123.98	$242.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $18.38 / $231.30	Professional		$13.54	$18.38	$231.30
United Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $105.09 / $206.90	Professional		$64.67	$105.09	$206.90