Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $144.74 / $413.70	Facility		$73.39	$144.74	$413.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $80.09 / $95.76	Professional		$56.88	$80.09	$95.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $22.89 / $39.72	Professional		$22.89	$22.89	$39.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $102.99 / $120.27	Facility		$47.96	$102.99	$120.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $45.77 / $79.94	Professional		$33.24	$45.77	$79.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.44 / $128.32 / $183.09	Facility		$105.44	$128.32	$183.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $137.32 / $228.86	Professional		$114.43	$137.32	$228.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $87.32 / $170.77	Facility		$74.38	$87.32	$170.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $87.93 / $551.54	Professional		$60.16	$87.93	$551.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $62.94 / $62.94	Professional		$62.94	$62.94	$62.94
United Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $48.06 / $125.87	Professional		$45.77	$48.06	$125.87