Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.52 / $130.22 / $135.44	Facility		$87.52	$130.22	$135.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $133.27 / $158.37	Professional		$116.27	$133.27	$158.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $204.71 / $204.71	Professional		$204.71	$204.71	$204.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.34 / $273.64 / $287.60	Facility		$170.34	$273.64	$287.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $144.62 / $180.77	Professional		$127.99	$144.62	$180.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.23 / $382.12 / $495.48	Facility		$205.23	$382.12	$495.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $259.95 / $341.18 / $451.51	Professional		$259.95	$341.18	$451.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $320.68	Facility		$108.00	$170.64	$320.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $480.52	Professional		$124.57	$170.64	$480.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $174.40 / $218.00	Professional		$143.00	$174.40	$218.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $136.51 / $215.96	Professional		$91.01	$136.51	$215.96