Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $231.01 / $239.57	Facility		$137.93	$231.01	$239.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $211.00 / $265.24	Professional		$137.93	$211.00	$265.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $284.58 / $355.73	Professional		$280.00	$284.58	$355.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.77 / $449.45 / $472.37	Facility		$279.77	$449.45	$472.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $185.11 / $230.17	Professional		$185.11	$185.11	$230.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.09 / $550.19 / $651.70	Facility		$337.09	$550.19	$651.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.98 / $539.34 / $741.59	Professional		$426.98	$539.34	$741.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $526.70	Facility		$225.12	$237.10	$526.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $789.27	Professional		$173.08	$237.10	$789.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.89 / $286.45 / $358.07	Professional		$234.89	$286.45	$358.07
United Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $202.46 / $296.30	Professional		$142.58	$202.46	$296.30