Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $169.82 / $275.42	Facility		$134.90	$169.82	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $407.38	Professional		$141.25	$194.98	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $316.23	Professional		$169.82	$213.80	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $213.80	Professional		$120.23	$141.25	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $275.42	Facility		$165.96	$199.53	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $288.40	Professional		$181.97	$229.09	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $275.42	Facility		$194.98	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $1,000.00	Professional		$173.78	$245.47	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $208.93	Professional		$117.49	$165.96	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $316.23	Professional		$165.96	$213.80	$316.23