Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $83.72 / $87.06	Facility		$52.70	$83.72	$87.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $71.09 / $87.06	Professional		$48.10	$71.09	$87.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.74 / $108.74 / $108.74	Professional		$108.74	$108.74	$108.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.50 / $175.90 / $184.87	Facility		$109.50	$175.90	$184.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $87.08 / $87.89	Professional		$70.70	$87.08	$87.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.93 / $210.24 / $255.06	Facility		$131.93	$210.24	$255.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $211.08 / $290.24	Professional		$166.74	$211.08	$290.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $206.14	Facility		$126.00	$128.85	$206.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $126.00 / $741.56	Professional		$109.52	$126.00	$741.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $112.12 / $140.15	Professional		$91.93	$112.12	$140.15
United Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $87.76 / $115.98	Professional		$58.51	$87.76	$115.98