Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.53 / $181.53 / $268.36	Facility		$181.53	$181.53	$268.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $200.47 / $268.36	Professional		$146.99	$200.47	$268.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.94 / $345.94 / $345.94	Professional		$345.94	$345.94	$345.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.44 / $317.14 / $365.93	Professional		$274.44	$317.14	$365.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $344.48 / $651.41	Facility		$38.28	$344.48	$651.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $390.97 / $645.10	Professional		$45.94	$390.97	$645.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $524.96	Facility		$243.42	$243.42	$524.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $250.72 / $430.94	Professional		$206.91	$250.72	$430.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $272.87	Professional		$100.00	$100.00	$272.87
United Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $223.86 / $317.14	Professional		$136.91	$223.86	$317.14