Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $81.59 / $120.63	Facility		$81.59	$81.59	$120.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $97.75 / $120.63	Professional		$73.28	$97.75	$120.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.26 / $151.26 / $151.26	Professional		$151.26	$151.26	$151.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $157.24 / $158.19	Professional		$130.19	$157.24	$158.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $162.44 / $299.97	Facility		$18.30	$162.44	$299.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $175.54 / $313.58	Professional		$21.07	$175.54	$313.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $225.56	Facility		$114.47	$114.47	$225.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $185.16	Professional		$97.30	$114.47	$185.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $151.80 / $194.38	Professional		$113.85	$151.80	$194.38
United Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $101.89 / $158.10	Professional		$61.54	$101.89	$158.10