Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.80 / $227.37 / $235.79	Facility		$160.80	$227.37	$235.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.02 / $235.79 / $265.68	Professional		$199.02	$235.79	$265.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $376.01 / $376.01	Professional		$376.01	$376.01	$376.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.38 / $442.37 / $464.93	Facility		$275.38	$442.37	$464.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $215.80 / $262.63	Professional		$206.91	$215.80	$262.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.78 / $619.32 / $800.61	Facility		$331.78	$619.32	$800.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $442.37 / $552.96 / $729.91	Professional		$442.37	$552.96	$729.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $574.24	Facility		$345.03	$345.03	$574.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $345.03 / $2,406.82	Professional		$251.87	$345.03	$2,406.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $281.93 / $352.41	Professional		$231.18	$281.93	$352.41
United Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $220.69 / $295.58	Professional		$147.13	$220.69	$295.58