Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $76.94 / $76.94	Facility		$73.98	$76.94	$76.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $75.52 / $82.43	Professional		$67.34	$75.52	$82.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $132.13 / $132.13	Professional		$115.99	$132.13	$132.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $155.46 / $163.38	Facility		$96.77	$155.46	$163.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $82.96 / $92.90	Professional		$72.70	$82.96	$92.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.60 / $216.51 / $249.02	Facility		$116.60	$216.51	$249.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $193.31 / $256.51	Professional		$147.69	$193.31	$256.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $182.18	Facility		$100.03	$100.03	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $100.03 / $741.61	Professional		$73.02	$100.03	$741.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.65 / $93.48 / $116.85	Professional		$76.65	$93.48	$116.85
United Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $77.56 / $106.19	Professional		$51.70	$77.56	$106.19