Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $75.08 / $77.86	Facility		$53.10	$75.08	$77.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $84.99 / $96.51	Professional		$53.10	$84.99	$96.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $128.41 / $128.41	Professional		$76.37	$128.41	$128.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $146.07 / $153.52	Facility		$90.93	$146.07	$153.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $83.53 / $88.64	Professional		$68.31	$83.53	$88.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.07 / $188.35 / $275.01	Facility		$146.07	$188.35	$275.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $189.89 / $239.72	Professional		$146.07	$189.89	$239.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $188.38	Facility		$95.80	$96.73	$188.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.73 / $256.52	Professional		$70.61	$96.73	$256.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $93.09 / $116.36	Professional		$76.33	$93.09	$116.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $72.88 / $116.86	Professional		$48.58	$72.88	$116.86