Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $57.54	Facility		$56.23	$56.23	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $81.28	Professional		$43.65	$54.95	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $112.20 / $117.49	Facility		$102.33	$112.20	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $53.70	Professional		$51.29	$51.29	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $147.91 / $194.98	Facility		$83.18	$147.91	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $177.83	Professional		$109.65	$138.04	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $158.49 / $158.49	Facility		$63.10	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $93.33 / $478.63	Professional		$45.71	$93.33	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $95.50	Professional		$57.54	$74.13	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $48.98 / $56.23	Facility		$43.65	$48.98	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $70.79	Professional		$33.88	$50.12	$70.79