Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $87.34 / $196.65	Facility		$20.50	$87.34	$196.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $87.35 / $106.08	Professional		$74.02	$87.35	$106.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $86.00	Professional		$86.00	$86.00	$86.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $92.53 / $92.53	Professional		$78.65	$92.53	$92.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $205.56 / $243.63	Facility		$129.88	$205.56	$243.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $187.33 / $222.03	Professional		$143.91	$187.33	$222.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $118.42 / $152.26	Professional		$87.97	$118.42	$152.26