Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Facility		$64.57	$64.57	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $112.20	Professional		$57.54	$67.61	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $138.04	Professional		$100.00	$114.82	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $138.04 / $144.54	Facility		$123.03	$138.04	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $83.18	Professional		$63.10	$72.44	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $239.88	Facility		$102.33	$181.97	$239.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $218.78	Professional		$134.90	$169.82	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $218.78	Facility		$89.13	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $660.69	Professional		$64.57	$114.82	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $117.49	Professional		$70.79	$91.20	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $93.33	Facility		$79.43	$81.28	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $93.33	Professional		$44.67	$67.61	$93.33