Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.59 / $216.42 / $224.43	Facility		$149.59	$216.42	$224.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $224.43 / $248.48	Professional		$149.59	$224.43	$248.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $193.00 / $193.00	Professional		$193.00	$193.00	$193.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.11 / $421.06 / $442.53	Facility		$262.11	$421.06	$442.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $210.13 / $246.56	Professional		$196.95	$210.13	$246.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.80 / $593.69 / $689.18	Facility		$315.80	$593.69	$689.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $400.01 / $526.33 / $694.75	Professional		$400.01	$526.33	$694.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $550.00	Facility		$261.02	$264.44	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $264.44 / $739.41	Professional		$193.04	$264.44	$739.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $268.36 / $335.45	Professional		$220.05	$268.36	$335.45
United Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $210.06 / $277.58	Professional		$140.04	$210.06	$277.58