Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.99 / $88.54 / $91.82	Facility		$51.99	$88.54	$91.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $85.90 / $91.82	Professional		$51.99	$85.90	$91.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $129.19 / $146.43	Professional		$108.48	$129.19	$146.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $172.27 / $181.06	Facility		$107.24	$172.27	$181.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $83.24 / $85.77	Professional		$80.58	$83.24	$85.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $232.56 / $273.02	Facility		$129.19	$232.56	$273.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $213.30 / $284.25	Professional		$163.66	$213.30	$284.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $201.88	Facility		$115.38	$115.38	$201.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $302.52	Professional		$84.23	$115.38	$302.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $109.80 / $137.25	Professional		$90.03	$109.80	$137.25
United Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $83.25 / $137.82	Professional		$57.30	$83.25	$137.82