Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $146.94 / $162.68	Facility		$134.19	$146.94	$162.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $147.27 / $184.78	Professional		$126.33	$147.27	$184.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $205.64 / $257.05	Professional		$114.68	$205.64	$257.05
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 $128.75 / $215.77 / $215.77	Professional		$128.75	$215.77	$215.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $303.25 / $438.70	Facility		$267.62	$303.25	$438.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $342.74 / $441.09	Professional		$274.19	$342.74	$441.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $323.06	Facility		$142.00	$142.00	$323.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $142.00 / $1,319.86	Professional		$103.66	$142.00	$1,319.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.93 / $215.77 / $269.71	Professional		$176.93	$215.77	$269.71
United Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $135.66 / $220.54	Professional		$91.69	$135.66	$220.54