Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.26 / $383.93 / $1,049.02	Facility		$189.26	$383.93	$1,049.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.23 / $200.77 / $241.18	Professional		$182.23	$200.77	$241.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Professional		$429.00	$429.00	$429.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $368.23 / $387.01	Facility		$229.22	$368.23	$387.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $150.96 / $221.05	Professional		$128.93	$150.96	$221.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.41 / $515.52 / $660.36	Facility		$331.41	$515.52	$660.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.82 / $460.29 / $607.58	Professional		$349.82	$460.29	$607.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $471.87	Facility		$233.36	$233.36	$471.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $294.58 / $381.42	Professional		$170.35	$294.58	$381.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.92 / $276.74 / $345.92	Professional		$226.92	$276.74	$345.92
United Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $183.71 / $313.83	Professional		$122.47	$183.71	$313.83