Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.03 / $146.94 / $223.17	Facility		$89.03	$146.94	$223.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $146.94 / $175.00	Professional		$116.93	$146.94	$175.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.59 / $205.64 / $234.33	Professional		$204.59	$205.64	$234.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.61 / $275.68 / $289.74	Facility		$171.61	$275.68	$289.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $133.76 / $148.53	Professional		$128.93	$133.76	$148.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.76 / $383.87 / $441.57	Facility		$206.76	$383.87	$441.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $342.74 / $454.87	Professional		$261.89	$342.74	$454.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $323.06	Facility		$135.00	$135.00	$323.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $178.00 / $259.68	Professional		$98.55	$178.00	$259.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.06 / $175.69 / $219.61	Professional		$144.06	$175.69	$219.61
United Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $134.66 / $181.75	Professional		$91.69	$134.66	$181.75