Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.93 / $134.74 / $169.14	Facility		$129.93	$134.74	$169.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $124.36 / $169.14	Professional		$98.32	$124.36	$169.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.91 / $210.91 / $210.91	Professional		$210.91	$210.91	$210.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.03 / $216.91 / $227.97	Facility		$135.03	$216.91	$227.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.25 / $271.88 / $271.88	Professional		$162.25	$271.88	$271.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.68 / $292.83 / $357.90	Facility		$162.68	$292.83	$357.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $260.29 / $357.90	Professional		$184.37	$260.29	$357.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $252.71	Facility		$211.82	$211.82	$252.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $211.82 / $971.57	Professional		$154.63	$211.82	$971.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.94 / $271.88 / $339.85	Professional		$222.94	$271.88	$339.85
United Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $170.99 / $231.10	Professional		$108.73	$170.99	$231.10