Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.62 / $174.62 / $258.13	Facility		$174.62	$174.62	$258.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $234.40 / $275.02	Professional		$153.84	$234.40	$275.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $415.02 / $415.02 / $415.02	Professional		$415.02	$415.02	$415.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $348.95 / $408.60	Professional		$222.00	$348.95	$408.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $114.93 / $259.20	Facility		$28.81	$114.93	$259.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $154.88 / $466.56	Professional		$28.81	$154.88	$466.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $258.98 / $749.46	Facility		$193.40	$258.98	$749.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $193.40 / $1,017.61	Professional		$61.52	$193.40	$1,017.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $22.73 / $227.32	Professional		$15.74	$22.73	$227.32
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $31.40 / $219.15	Professional		$13.18	$31.40	$219.15