Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $72.45 / $75.34	Facility		$49.17	$72.45	$75.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $73.52 / $80.73	Professional		$64.68	$73.52	$80.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $113.60 / $113.60	Professional		$113.60	$113.60	$113.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.77 / $152.24 / $160.00	Facility		$94.77	$152.24	$160.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $81.23 / $101.55	Professional		$71.20	$81.23	$101.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.18 / $212.04 / $243.89	Facility		$114.18	$212.04	$243.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $189.33 / $251.20	Professional		$144.63	$189.33	$251.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $178.40	Facility		$98.15	$98.15	$178.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $98.15 / $726.28	Professional		$71.65	$98.15	$726.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.07 / $91.55 / $114.43	Professional		$75.07	$91.55	$114.43
United Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $75.95 / $121.32	Professional		$50.63	$75.95	$121.32