Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $75.38 / $78.17	Facility		$40.33	$75.38	$78.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $66.62 / $78.17	Professional		$40.33	$66.62	$78.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $146.66 / $154.13	Facility		$91.30	$146.66	$154.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $60.50 / $68.59	Professional		$60.50	$60.50	$68.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $173.66 / $212.66	Facility		$110.00	$173.66	$212.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $175.99 / $241.99	Professional		$131.46	$175.99	$241.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $171.86	Facility		$84.33	$88.85	$171.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $257.55	Professional		$64.86	$88.85	$257.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $93.48 / $116.85	Professional		$76.65	$93.48	$116.85
United Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $65.01 / $96.69	Professional		$42.65	$65.01	$96.69