Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.01 / $196.01 / $289.75	Facility		$196.01	$196.01	$289.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $240.46 / $289.75	Professional		$136.04	$240.46	$289.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $250.85 / $250.85	Professional		$250.85	$250.85	$250.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.20 / $314.10 / $329.40	Professional		$224.20	$314.10	$329.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.58 / $71.63 / $663.88	Facility		$33.58	$71.63	$663.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $73.87 / $767.34	Professional		$44.77	$73.87	$767.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $423.15	Facility		$209.52	$209.52	$423.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $369.90	Professional		$178.09	$209.52	$369.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $321.44	Professional		$100.00	$100.00	$321.44
United Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $201.76 / $279.23	Professional		$128.49	$201.76	$279.23