Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.49 / $99.44 / $103.12	Facility		$62.49	$99.44	$103.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $95.59 / $104.42	Professional		$62.49	$95.59	$104.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.61 / $143.61 / $144.35	Professional		$143.61	$143.61	$144.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $193.47 / $203.34	Facility		$120.44	$193.47	$203.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $93.88 / $106.22	Professional		$90.50	$93.88	$106.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.10 / $269.44 / $309.89	Facility		$145.10	$269.44	$309.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $240.58 / $319.23	Professional		$183.80	$240.58	$319.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $226.73	Facility		$107.42	$107.42	$226.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $926.31	Professional		$78.42	$107.42	$926.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $123.30 / $154.12	Professional		$101.10	$123.30	$154.12
United Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $85.00 / $100.06	Facility		$72.68	$85.00	$100.06
United Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $92.91 / $127.55	Professional		$64.34	$92.91	$127.55