Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $212.38 / $216.50	Facility		$192.28	$212.38	$216.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $212.85 / $235.74	Professional		$195.53	$212.85	$235.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $282.89	Professional		$282.89	$282.89	$282.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $171.68 / $197.17	Professional		$145.91	$171.68	$197.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.36 / $234.23 / $273.45	Facility		$192.36	$234.23	$273.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.52 / $264.02 / $377.18	Professional		$171.52	$264.02	$377.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.52 / $253.52 / $253.52	Facility		$253.52	$253.52	$253.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $214.80 / $343.03	Professional		$161.00	$214.80	$343.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $245.17	Professional		$32.34	$32.34	$245.17
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $211.09 / $346.23	Professional		$164.12	$211.09	$346.23