Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $68.19 / $70.72	Facility		$48.22	$68.19	$70.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $70.72 / $86.99	Professional		$58.59	$70.72	$86.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $112.78 / $112.78	Professional		$112.78	$112.78	$112.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.59 / $132.68 / $139.44	Facility		$82.59	$132.68	$139.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $77.70 / $79.14	Professional		$62.40	$77.70	$79.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.51 / $187.08 / $252.09	Facility		$99.51	$187.08	$252.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $179.12 / $226.76	Professional		$132.68	$179.12	$226.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $179.38	Facility		$106.22	$106.22	$179.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $106.22 / $751.82	Professional		$77.54	$106.22	$751.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $84.55 / $105.68	Professional		$69.33	$84.55	$105.68
United Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $65.59 / $77.22	Facility		$65.59	$65.59	$77.22
United Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $66.19 / $103.45	Professional		$44.13	$66.19	$103.45