Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.59 / $150.12 / $184.63	Facility		$112.59	$150.12	$184.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $163.59 / $262.61	Professional		$112.59	$163.59	$262.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $201.14 / $225.27	Professional		$160.91	$201.14	$225.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $147.41 / $268.92	Professional		$125.30	$147.41	$268.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $206.78 / $257.45	Facility		$160.91	$206.78	$257.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $201.14 / $261.64	Professional		$160.91	$201.14	$261.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.91 / $197.63 / $197.63	Facility		$162.91	$197.63	$197.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.37 / $235.98 / $403.23	Professional		$162.37	$235.98	$403.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $209.18	Professional		$32.34	$32.34	$209.18
United Facility/Professional Professional Modifier Low / Median / High Price $167.23 / $196.85 / $322.80	Professional		$167.23	$196.85	$322.80