Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $346.74 / $870.96	Facility		$158.49	$346.74	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $263.03	Professional		$151.36	$181.97	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $354.81	Professional		$229.09	$229.09	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $302.00	Professional		$125.89	$173.78	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $251.19	Facility		$147.91	$194.98	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $239.88	Professional		$131.83	$194.98	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $416.87 / $794.33	Professional		$151.36	$416.87	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $302.00	Professional		$56.23	$70.79	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $288.40	Professional		$104.71	$194.98	$288.40