Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.50 / $147.72 / $520.60	Facility		$101.50	$147.72	$520.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $213.94	Professional		$142.62	$142.63	$213.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $178.29 / $178.29	Professional		$178.29	$178.29	$178.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $57.05 / $57.05	Facility		$57.05	$57.05	$57.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $57.05 / $57.05	Professional		$48.49	$57.05	$57.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $199.68 / $271.00	Facility		$142.63	$199.68	$271.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $178.29 / $235.34	Professional		$142.63	$178.29	$235.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $108.84 / $188.20	Facility		$92.71	$108.84	$188.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $142.63 / $687.48	Professional		$71.59	$142.63	$687.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $149.76 / $192.55	Professional		$142.63	$149.76	$192.55
United Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $86.17 / $213.95	Professional		$60.69	$86.17	$213.95