Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $85.54 / $88.96	Facility		$58.10	$85.54	$88.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $85.54 / $95.60	Professional		$58.10	$85.54	$95.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $179.74 / $188.91	Facility		$111.89	$179.74	$188.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $96.01 / $97.21	Professional		$84.07	$96.01	$97.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.81 / $242.65 / $286.98	Facility		$134.81	$242.65	$286.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.75 / $224.20 / $296.57	Professional		$170.75	$224.20	$296.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $211.85	Facility		$113.25	$113.25	$211.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $887.94	Professional		$82.67	$113.25	$887.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $114.54 / $143.17	Professional		$93.92	$114.54	$143.17
United Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $89.67 / $122.89	Professional		$59.78	$89.67	$122.89