Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $338.84 / $588.84	Facility		$204.17	$338.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $245.47	Professional		$165.96	$204.17	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $257.04	Facility		$204.17	$245.47	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $138.04	Professional		$45.71	$45.71	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $346.74	Facility		$245.47	$295.12	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $398.11	Professional		$245.47	$295.12	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $398.11	Facility		$162.18	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,202.26 / $1,202.26	Professional		$162.18	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $245.47	Professional		$104.71	$128.82	$245.47