Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.21 / $195.59 / $202.84	Facility		$101.21	$195.59	$202.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.21 / $203.06 / $294.43	Professional		$171.21	$203.06	$294.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $283.87 / $283.87	Professional		$283.87	$283.87	$283.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.89 / $380.55 / $399.96	Facility		$236.89	$380.55	$399.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $110.78 / $221.34	Professional		$110.78	$110.78	$221.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.41 / $418.61 / $605.58	Facility		$369.41	$418.61	$605.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $378.49 / $473.11 / $608.88	Professional		$378.49	$473.11	$608.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $445.96	Facility		$211.27	$211.27	$445.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $211.27 / $668.28	Professional		$154.22	$211.27	$668.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $247.24 / $309.05	Professional		$202.73	$247.24	$309.05
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $174.58 / $250.88	Professional		$126.57	$174.58	$250.88