Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $96.77 / $100.36	Facility		$64.06	$96.77	$100.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $94.68 / $100.36	Professional		$83.14	$94.68	$100.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $139.10 / $139.10	Professional		$139.10	$139.10	$139.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.20 / $188.28 / $197.88	Facility		$117.20	$188.28	$197.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $103.22 / $107.19	Professional		$85.99	$103.22	$107.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.21 / $254.18 / $290.85	Facility		$141.21	$254.18	$290.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.87 / $225.94 / $310.66	Professional		$178.87	$225.94	$310.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $226.96	Facility		$110.15	$110.15	$226.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $110.15 / $951.28	Professional		$80.41	$110.15	$951.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $120.00 / $150.00	Professional		$98.40	$120.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $87.94 / $148.97	Professional		$62.62	$87.94	$148.97