Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.35 / $247.90 / $1,324.92	Facility		$158.35	$247.90	$1,324.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.24 / $261.62 / $298.45	Professional		$209.24	$261.62	$298.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.76 / $416.76 / $474.38	Professional		$416.76	$416.76	$474.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.51 / $465.08 / $488.80	Facility		$289.51	$465.08	$488.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.53 / $255.09 / $271.08	Professional		$217.53	$255.09	$271.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.81 / $655.76 / $883.65	Facility		$348.81	$655.76	$883.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $465.08 / $627.86 / $777.95	Professional		$465.08	$627.86	$777.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $557.66	Facility		$293.31	$293.31	$557.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $377.51 / $633.66	Professional		$214.12	$377.51	$633.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.05 / $296.41 / $370.51	Professional		$243.05	$296.41	$370.51
United Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $232.03 / $354.97	Professional		$154.68	$232.03	$354.97