Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $266.64 / $276.52	Facility		$167.40	$266.64	$276.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $255.37 / $276.52	Professional		$219.38	$255.37	$276.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.85 / $365.85 / $365.85	Professional		$365.85	$365.85	$365.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.94 / $518.78 / $545.24	Facility		$322.94	$518.78	$545.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.96 / $266.75 / $276.35	Professional		$237.96	$266.75	$276.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.09 / $682.92 / $780.48	Facility		$389.09	$682.92	$780.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $492.84 / $622.54 / $855.99	Professional		$492.84	$622.54	$855.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $607.94	Facility		$297.02	$297.02	$607.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $297.02 / $2,537.78	Professional		$216.82	$297.02	$2,537.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $271.11 / $330.63 / $413.28	Professional		$271.11	$330.63	$413.28
United Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $243.36 / $342.01	Professional		$172.54	$243.36	$342.01