Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $75.67 / $78.47	Facility		$51.36	$75.67	$78.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $78.47 / $87.10	Professional		$66.23	$78.47	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $125.14 / $125.14	Professional		$88.34	$125.14	$125.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.64 / $147.22 / $154.72	Facility		$91.64	$147.22	$154.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $76.61 / $85.06	Professional		$68.84	$76.61	$85.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $172.76 / $241.99	Facility		$146.66	$172.76	$241.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $184.03 / $235.55	Professional		$147.22	$184.03	$235.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $182.97	Facility		$102.60	$102.60	$182.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $102.60 / $766.86	Professional		$74.90	$102.60	$766.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $93.82 / $117.27	Professional		$76.93	$93.82	$117.27
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $73.45 / $117.48	Professional		$48.96	$73.45	$117.48