Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.17 / $347.17 / $353.91	Facility		$347.17	$347.17	$353.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $340.12 / $530.50	Professional		$268.74	$340.12	$530.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.16 / $333.50 / $410.15	Professional		$305.16	$333.50	$410.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.06 / $267.13 / $415.93	Professional		$227.06	$267.13	$415.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.12 / $410.15 / $524.99	Facility		$328.12	$410.15	$524.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.12 / $410.15 / $524.99	Professional		$328.12	$410.15	$524.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $401.69 / $401.69	Facility		$401.69	$401.69	$401.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.62 / $360.71 / $538.60	Professional		$272.62	$360.71	$538.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $426.56	Professional		$32.34	$32.34	$426.56
United Facility/Professional Professional Modifier Low / Median / High Price $246.58 / $310.83 / $528.11	Professional		$246.58	$310.83	$528.11