Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $446.68	Facility		$120.23	$162.18	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $575.44	Professional		$141.25	$223.87	$575.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $169.82 / $309.03 / $707.95	Professional	25	$169.82	$309.03	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $316.23	Professional		$158.49	$213.80	$316.23
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $169.82 / $218.78 / $309.03	Professional	25	$169.82	$218.78	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $218.78	Professional		$125.89	$154.88	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $204.17 / $281.84	Facility		$165.96	$204.17	$281.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $302.00	Professional		$190.55	$234.42	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $1,047.13	Professional		$158.49	$213.80	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $112.20 / $165.96	Professional		$32.36	$112.20	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $281.84	Professional		$141.25	$186.21	$281.84