Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.08 / $89.25 / $92.56	Facility		$56.08	$89.25	$92.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $89.25 / $101.92	Professional		$76.68	$89.25	$101.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $128.88 / $128.88	Professional		$128.88	$128.88	$128.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.10 / $173.65 / $182.51	Facility		$108.10	$173.65	$182.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $84.00 / $93.03	Professional		$81.20	$84.00	$93.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.24 / $241.81 / $278.12	Facility		$130.24	$241.81	$278.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $215.90 / $286.52	Professional		$164.97	$215.90	$286.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $203.50	Facility		$104.24	$104.24	$203.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $828.32	Professional		$76.09	$104.24	$828.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $110.66 / $138.32	Professional		$90.74	$110.66	$138.32
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $82.43 / $114.47	Professional		$57.75	$82.43	$114.47