Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $78.72 / $116.38	Facility		$78.72	$78.72	$116.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $96.82 / $116.38	Professional		$65.23	$96.82	$116.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $148.27 / $148.27	Professional		$148.27	$148.27	$148.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $150.97 / $150.97	Professional		$96.80	$150.97	$150.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $148.34 / $286.64	Facility		$17.16	$148.34	$286.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $169.81 / $280.19	Professional		$20.38	$169.81	$280.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $197.83	Facility		$115.90	$115.90	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $225.90	Professional		$98.52	$115.90	$225.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $100.00 / $120.13	Professional		$12.01	$100.00	$120.13
United Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $96.72 / $137.16	Professional		$59.36	$96.72	$137.16