Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $243.82 / $414.31	Facility		$243.71	$243.82	$414.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $334.68	Professional		$243.71	$243.71	$334.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.82 / $243.82 / $243.82	Professional		$243.82	$243.82	$243.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.89 / $287.39 / $487.42	Facility		$275.89	$287.39	$487.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.78 / $243.71 / $243.71	Professional		$182.78	$243.71	$243.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $292.45 / $389.94	Facility		$243.71	$292.45	$389.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $268.08 / $375.31	Professional		$243.71	$268.08	$375.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.61 / $240.61 / $243.71	Facility		$240.61	$240.61	$243.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $314.98	Professional		$243.71	$243.71	$314.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.14 / $243.82 / $312.18	Professional		$240.14	$243.82	$312.18
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $251.02 / $271.30	Professional		$243.71	$251.02	$271.30