Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.81 / $73.06 / $75.98	Facility		$55.81	$73.06	$75.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $74.97 / $85.39	Professional		$65.23	$74.97	$85.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $115.16 / $115.16	Professional		$115.16	$115.16	$115.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.58 / $153.54 / $161.37	Facility		$95.58	$153.54	$161.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $92.22 / $93.24	Professional		$71.81	$92.22	$93.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.16 / $214.96 / $263.02	Facility		$115.16	$214.96	$263.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $191.93 / $253.34	Professional		$153.54	$191.93	$253.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $189.19	Facility		$99.32	$99.32	$189.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $99.32 / $792.94	Professional		$72.50	$99.32	$792.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.24 / $97.86 / $122.32	Professional		$80.24	$97.86	$122.32
United Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $76.59 / $121.49	Professional		$51.07	$76.59	$121.49