Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.52 / $309.56 / $321.02	Facility		$202.52	$309.56	$321.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.32 / $309.56 / $355.42	Professional		$268.32	$309.56	$355.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $511.94 / $511.94 / $511.94	Professional		$511.94	$511.94	$511.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.92 / $602.28 / $633.00	Facility		$374.92	$602.28	$633.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.70 / $286.22 / $350.31	Professional		$281.70	$286.22	$350.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $813.08 / $938.78	Facility		$451.71	$813.08	$938.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.16 / $733.43 / $993.76	Professional		$572.16	$733.43	$993.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $738.31	Facility		$372.88	$372.88	$738.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $372.88 / $3,094.49	Professional		$272.20	$372.88	$3,094.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.75 / $383.85 / $479.81	Professional		$314.75	$383.85	$479.81
United Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $292.72 / $476.54	Professional		$200.32	$292.72	$476.54