Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Facility		$186.21	$186.21	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $338.84	Professional		$144.54	$194.98	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $831.76	Professional		$302.00	$323.59	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $316.23 / $338.84	Facility		$288.40	$316.23	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $389.05	Professional		$281.84	$389.05	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $416.87 / $549.54	Facility		$234.42	$416.87	$549.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $501.19	Professional		$309.03	$389.05	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $457.09 / $457.09	Facility		$302.00	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $1,380.38	Professional		$218.78	$426.58	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $524.81	Professional		$316.23	$407.38	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $234.42 / $275.42	Facility		$218.78	$234.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $371.54	Professional		$154.88	$239.88	$371.54