Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.83 / $302.64 / $302.64	Facility		$291.83	$302.64	$302.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.45 / $298.70 / $333.31	Professional		$255.45	$298.70	$333.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.60 / $423.60 / $423.60	Professional		$423.60	$423.60	$423.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.46 / $567.80 / $596.77	Facility		$353.46	$567.80	$596.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $275.51 / $304.57	Professional		$230.00	$275.51	$304.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $425.86 / $790.72 / $909.50	Facility		$425.86	$790.72	$909.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $539.41 / $706.00 / $936.89	Professional		$539.41	$706.00	$936.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $665.40	Facility		$315.25	$315.25	$665.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $2,708.55	Professional		$230.13	$315.25	$2,708.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.88 / $315.66 / $379.40	Professional		$248.88	$315.66	$379.40
United Facility/Professional Professional Modifier Low / Median / High Price $188.85 / $277.36 / $374.33	Professional		$188.85	$277.36	$374.33