Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $102.37 / $113.34	Facility		$93.50	$102.37	$113.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $102.60 / $134.63	Professional		$89.79	$102.60	$134.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $143.28 / $147.97	Professional		$59.00	$143.28	$147.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $192.05 / $201.84	Facility		$119.55	$192.05	$201.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $150.33 / $150.33	Professional		$89.71	$150.33	$150.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.43 / $211.26 / $305.66	Facility		$186.43	$211.26	$305.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.04 / $238.80 / $307.27	Professional		$191.04	$238.80	$307.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $225.06	Facility		$118.47	$120.81	$225.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $120.81 / $916.14	Professional		$88.19	$120.81	$916.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.27 / $150.33 / $187.91	Professional		$123.27	$150.33	$187.91
United Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $94.52 / $153.63	Professional		$63.88	$94.52	$153.63