Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $83.18	Professional		$70.79	$70.79	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $77.62	Professional		$70.79	$70.79	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $112.20	Facility		$70.79	$70.79	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $100.00	Professional		$70.79	$75.86	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $257.04 / $257.04	Facility		$70.79	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $302.00	Professional		$70.79	$70.79	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $100.00	Professional		$74.13	$74.13	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $251.19	Professional		$120.23	$128.82	$251.19