Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $159.16 / $938.98	Facility		$129.41	$159.16	$938.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $155.46 / $237.65	Professional		$131.85	$155.46	$237.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.88 / $298.61 / $313.83	Facility		$185.88	$298.61	$313.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $144.86 / $159.35	Professional		$139.66	$144.86	$159.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.96 / $415.74 / $478.27	Facility		$223.96	$415.74	$478.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.68 / $371.20 / $492.71	Professional		$283.68	$371.20	$492.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $349.93	Facility		$175.00	$175.00	$349.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $220.60 / $309.30	Professional		$127.75	$220.60	$309.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $174.15 / $213.71	Professional		$140.19	$174.15	$213.71
United Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $143.38 / $220.59	Professional		$99.31	$143.38	$220.59