Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.01 / $288.01 / $293.60	Facility		$288.01	$288.01	$293.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $282.17 / $458.82	Professional		$220.77	$282.17	$458.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $103.13 / $141.09 / $162.91	Professional	52	$103.13	$141.09	$162.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $272.00 / $339.99	Professional		$252.56	$272.00	$339.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $213.70 / $343.48	Professional		$181.64	$213.70	$343.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.00 / $340.00 / $435.20	Facility		$272.00	$340.00	$435.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $340.00 / $435.20	Professional		$272.00	$340.00	$435.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.22 / $291.52 / $450.45	Professional		$223.22	$291.52	$450.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.60	Professional		$32.34	$32.34	$353.60
United Facility/Professional Professional Modifier Low / Median / High Price $202.79 / $249.20 / $446.27	Professional		$202.79	$249.20	$446.27