Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $91.20	Facility		$61.66	$61.66	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $100.00	Professional		$61.66	$81.28	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $117.49	Professional		$109.65	$117.49	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $102.33 / $186.21	Facility		$12.30	$102.33	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $138.04 / $234.42	Professional		$16.22	$138.04	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $117.49 / $223.87	Facility		$33.11	$117.49	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $131.83	Professional		$77.62	$91.20	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $144.54	Professional		$85.11	$114.82	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $61.66 / $85.11	Facility		$7.94	$61.66	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $117.49	Professional		$47.86	$81.28	$117.49