Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.91 / $203.56 / $230.12	Facility		$199.91	$203.56	$230.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $203.56 / $316.66	Professional		$189.62	$203.56	$316.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $263.44 / $263.44	Professional		$239.28	$263.44	$263.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $164.38 / $232.22	Professional		$137.13	$164.38	$232.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.90 / $255.90 / $301.07	Facility		$185.90	$255.90	$301.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $250.78 / $376.34	Professional		$162.84	$250.78	$376.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $329.30	Facility		$329.30	$329.30	$329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $274.33 / $423.27	Professional		$170.12	$274.33	$423.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $126.69 / $175.67	Professional		$32.34	$126.69	$175.67
United Facility/Professional Professional Modifier Low / Median / High Price $197.98 / $254.45 / $418.92	Professional		$197.98	$254.45	$418.92