Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.25 / $193.14 / $242.45	Facility		$186.25	$193.14	$242.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $186.25 / $277.08	Professional		$140.94	$186.25	$277.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.41 / $302.31 / $606.67	Professional		$301.41	$302.31	$606.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.56 / $310.94 / $326.80	Facility		$193.56	$310.94	$326.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.56 / $389.74 / $389.74	Professional		$232.56	$389.74	$389.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.21 / $419.77 / $513.04	Facility		$233.21	$419.77	$513.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.30 / $373.13 / $513.04	Professional		$264.30	$373.13	$513.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $362.26	Facility		$301.51	$301.51	$362.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $1,392.69	Professional		$220.10	$301.51	$1,392.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $319.58 / $389.74 / $487.17	Professional		$319.58	$389.74	$487.17
United Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $239.35 / $346.36	Professional		$155.86	$239.35	$346.36