Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $407.38 / $676.08	Facility		$257.04	$407.38	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $426.58	Professional		$218.78	$257.04	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $398.11	Professional		$371.54	$371.54	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $512.86 / $537.03	Facility		$457.09	$512.86	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $288.40	Professional		$169.82	$245.47	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $676.08 / $870.96	Facility		$371.54	$676.08	$870.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $794.33	Professional		$501.19	$630.96	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $794.33 / $794.33	Facility		$275.42	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $2,398.83	Professional		$204.17	$467.74	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $512.86	Professional		$309.03	$398.11	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $239.88 / $288.40	Facility		$218.78	$239.88	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $512.86	Professional		$165.96	$239.88	$512.86