Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.65 / $105.65 / $156.18	Facility		$105.65	$105.65	$156.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $123.06 / $159.08	Professional		$94.77	$123.06	$159.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $163.18 / $217.57	Professional		$163.18	$163.18	$217.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.21 / $264.04 / $265.50	Professional		$152.21	$264.04	$265.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $178.44 / $451.41	Facility		$24.44	$178.44	$451.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $201.81 / $409.09	Professional		$27.76	$201.81	$409.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $378.79	Facility		$126.72	$126.72	$378.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $130.52 / $310.95	Professional		$107.71	$130.52	$310.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $100.00 / $122.58	Professional		$12.25	$100.00	$122.58
United Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $158.62 / $265.50	Professional		$79.73	$158.62	$265.50