Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $79.56 / $82.52	Facility		$49.25	$79.56	$82.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $72.77 / $91.36	Professional		$64.48	$72.77	$91.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $101.62 / $154.82	Professional		$101.62	$101.62	$154.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.38 / $154.82 / $162.72	Facility		$96.38	$154.82	$162.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $66.09 / $82.18	Professional		$66.09	$66.09	$82.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.12 / $196.46 / $224.49	Facility		$116.12	$196.46	$224.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $185.78 / $255.45	Professional		$147.08	$185.78	$255.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $181.43	Facility		$81.70	$86.88	$181.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $271.87	Professional		$63.42	$86.88	$271.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $98.67 / $123.33	Professional		$80.90	$98.67	$123.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $69.80 / $103.43	Professional		$51.49	$69.80	$103.43