Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $11,748.98	Facility		$173.78	$245.47	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $245.47	Professional		$173.78	$173.78	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $295.12	Facility		$194.98	$204.17	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $181.97 / $269.15	Facility		$173.78	$181.97	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $239.88	Professional		$173.78	$181.97	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $251.19	Facility		$173.78	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $741.31	Professional		$173.78	$173.78	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $223.87	Professional		$173.78	$181.97	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $194.98	Professional		$173.78	$186.21	$194.98