Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.81 / $182.81 / $981.56	Facility		$182.81	$182.81	$981.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $182.81 / $310.25	Professional		$164.76	$182.81	$310.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $214.25 / $249.96	Professional		$142.83	$214.25	$249.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.82 / $195.08 / $277.05	Professional		$165.82	$195.08	$277.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.54 / $249.96 / $298.89	Facility		$178.54	$249.96	$298.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.42 / $236.56 / $294.58	Professional		$190.42	$236.56	$294.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.08 / $216.61 / $216.61	Facility		$180.08	$216.61	$216.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.69 / $276.32 / $605.29	Professional		$180.69	$276.32	$605.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.39	Professional		$32.34	$32.34	$196.39
United Facility/Professional Professional Modifier Low / Median / High Price $168.87 / $196.33 / $279.68	Professional		$168.87	$196.33	$279.68