Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.95 / $265.43 / $265.43	Facility		$255.95	$265.43	$265.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.18 / $265.43 / $276.52	Professional		$228.18	$265.43	$276.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.62 / $369.62 / $369.62	Professional		$369.62	$369.62	$369.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.99 / $497.97 / $523.37	Facility		$309.99	$497.97	$523.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $144.94 / $268.12	Professional		$144.94	$144.94	$268.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $373.48 / $693.32 / $797.63	Facility		$373.48	$693.32	$797.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $473.07 / $619.04 / $821.65	Professional		$473.07	$619.04	$821.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $583.55	Facility		$312.81	$312.81	$583.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $312.81 / $2,375.87	Professional		$228.35	$312.81	$2,375.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $332.72 / $415.90	Professional		$272.83	$332.72	$415.90
United Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $224.53 / $328.29	Professional		$165.62	$224.53	$328.29