Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.78 / $104.51 / $108.38	Facility		$98.78	$104.51	$108.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $108.59 / $136.02	Professional		$95.03	$108.59	$136.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $152.51 / $152.51	Professional		$145.52	$152.51	$152.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.58 / $203.34 / $213.71	Facility		$126.58	$203.34	$213.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $159.13 / $159.13	Professional		$94.95	$159.13	$159.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.31 / $223.67 / $323.50	Facility		$197.31	$223.67	$323.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $252.74 / $325.33	Professional		$202.19	$252.74	$325.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $238.28	Facility		$106.02	$127.07	$238.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $127.07 / $967.52	Professional		$92.76	$127.07	$967.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $159.13 / $198.92	Professional		$130.49	$159.13	$198.92
United Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $100.54 / $162.66	Professional		$67.63	$100.54	$162.66