Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.29 / $232.76 / $696.50	Facility		$135.29	$232.76	$696.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $102.07 / $135.29	Professional		$85.59	$102.07	$135.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $31.32 / $78.30	Professional		$31.32	$31.32	$78.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $140.93 / $164.58	Facility		$73.79	$140.93	$164.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $45.77 / $114.93	Professional		$34.32	$45.77	$114.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.16 / $175.44 / $250.54	Facility		$144.16	$175.44	$250.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $187.91 / $313.18	Professional		$156.59	$187.91	$313.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.78 / $121.84 / $233.69	Facility		$101.78	$121.84	$233.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $135.29 / $754.76	Professional		$82.33	$135.29	$754.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Professional		$86.12	$86.12	$86.12
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $73.79 / $172.25	Professional		$63.00	$73.79	$172.25