Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.65 / $81.65 / $120.70	Facility		$81.65	$81.65	$120.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $91.98 / $120.70	Professional		$81.37	$91.98	$120.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $100.78	Professional		$100.78	$100.78	$100.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $174.59 / $175.56	Professional		$130.94	$174.59	$175.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $39.78 / $271.31	Facility		$15.93	$39.78	$271.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $41.02 / $271.31	Professional		$16.73	$41.02	$271.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $250.47	Facility		$110.00	$110.00	$250.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $706.27	Professional		$93.50	$93.50	$706.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $100.00 / $113.65	Professional		$85.23	$100.00	$113.65
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $84.86 / $175.56	Professional		$49.08	$84.86	$175.56