Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $170.35 / $176.66	Facility		$113.39	$170.35	$176.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.39 / $170.35 / $207.10	Professional		$113.39	$170.35	$207.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $311.00 / $490.00	Professional		$233.96	$311.00	$490.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.32 / $331.43 / $348.33	Facility		$206.32	$331.43	$348.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $152.16 / $189.42	Professional		$152.16	$152.16	$189.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $311.94 / $364.57 / $554.66	Facility		$311.94	$364.57	$554.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.86 / $397.72 / $530.29	Professional		$314.86	$397.72	$530.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $398.31	Facility		$184.69	$194.92	$398.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $194.92 / $582.02	Professional		$142.29	$194.92	$582.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $211.22 / $264.02	Professional		$173.20	$211.22	$264.02
United Facility/Professional Professional Modifier Low / Median / High Price $110.23 / $155.62 / $218.50	Professional		$110.23	$155.62	$218.50