Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.62 / $108.49 / $112.50	Facility		$78.62	$108.49	$112.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $108.49 / $118.84	Professional		$93.20	$108.49	$118.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $179.41 / $179.41	Professional		$157.43	$179.41	$179.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $211.07 / $221.83	Facility		$131.38	$211.07	$221.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $61.45 / $114.05	Professional		$61.45	$61.45	$114.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $293.87 / $338.15	Facility		$158.30	$293.87	$338.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.52 / $262.39 / $348.27	Professional		$200.52	$262.39	$348.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $247.34	Facility		$140.54	$140.54	$247.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $132.87 / $1,006.90	Professional		$102.59	$132.87	$1,006.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $123.10 / $152.65	Professional		$100.13	$123.10	$152.65
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $101.45 / $155.94	Professional		$70.20	$101.45	$155.94