Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $865.80	Facility		$162.00	$162.00	$865.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $162.00 / $278.32	Professional		$147.41	$162.00	$278.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $204.69 / $220.43	Professional		$125.96	$204.69	$220.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $178.35 / $248.30	Professional		$151.59	$178.35	$248.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $220.43 / $263.79	Facility		$157.44	$220.43	$263.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.27 / $212.56 / $259.79	Professional		$160.27	$212.56	$259.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.34 / $191.28 / $191.28	Facility		$174.34	$191.28	$191.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $244.54 / $530.22	Professional		$160.55	$244.54	$530.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.20	Professional		$32.34	$32.34	$173.20
United Facility/Professional Professional Modifier Low / Median / High Price $145.02 / $188.83 / $312.95	Professional		$145.02	$188.83	$312.95