Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $691.83 / $1,288.25	Facility		$218.78	$691.83	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $363.08	Professional		$199.53	$239.88	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $288.40	Professional		$144.54	$181.97	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $263.03 / $323.59	Facility		$194.98	$263.03	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $309.03	Professional		$194.98	$251.19	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $346.74	Facility		$263.03	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $588.84 / $1,047.13	Professional		$199.53	$588.84	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $85.11	Professional		$63.10	$66.07	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $239.88 / $389.05	Professional		$85.11	$239.88	$389.05