Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $164.96 / $413.33	Facility		$112.50	$164.96	$413.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $164.96 / $185.87	Professional		$112.50	$164.96	$185.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $251.65 / $464.22	Professional		$245.68	$251.65	$464.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.65 / $309.48 / $325.26	Facility		$192.65	$309.48	$325.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $163.68 / $186.65	Professional		$144.75	$163.68	$186.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.11 / $436.37 / $536.85	Facility		$232.11	$436.37	$536.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.01 / $386.85 / $510.64	Professional		$294.01	$386.85	$510.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $396.11	Facility		$216.42	$216.42	$396.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $543.47	Professional		$157.99	$216.42	$543.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.73 / $197.24 / $246.55	Professional		$161.73	$197.24	$246.55
United Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $153.02 / $180.13	Facility		$130.86	$153.02	$180.13
United Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $154.40 / $236.26	Professional		$102.93	$154.40	$236.26