Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.88 / $175.17 / $181.66	Facility		$123.88	$175.17	$181.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $181.66 / $235.40	Professional		$113.06	$181.66	$235.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $345.00 / $345.00	Professional		$345.00	$345.00	$345.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.15 / $340.81 / $358.19	Facility		$212.15	$340.81	$358.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.55 / $199.58 / $206.94	Professional		$165.55	$199.58	$206.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.61 / $480.54 / $647.54	Facility		$255.61	$480.54	$647.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.81 / $460.09 / $593.89	Professional		$340.81	$460.09	$593.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $471.93	Facility		$229.50	$229.50	$471.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $598.48	Professional		$167.54	$229.50	$598.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $217.21 / $271.51	Professional		$178.11	$217.21	$271.51
United Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $170.03 / $270.97	Professional		$113.35	$170.03	$270.97