Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.29 / $158.81 / $165.16	Facility		$121.29	$158.81	$165.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.79 / $170.32 / $190.75	Professional		$141.79	$170.32	$190.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $268.41 / $283.63	Professional		$250.26	$268.41	$283.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.72 / $333.68 / $350.70	Facility		$207.72	$333.68	$350.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.07 / $200.42 / $202.82	Professional		$156.07	$200.42	$202.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.26 / $470.49 / $572.61	Facility		$250.26	$470.49	$572.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $417.10 / $550.57	Professional		$317.00	$417.10	$550.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $424.88	Facility		$209.59	$209.59	$424.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $209.59 / $1,780.80	Professional		$153.00	$209.59	$1,780.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $212.67 / $265.83	Professional		$174.38	$212.67	$265.83
United Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $219.98 / $256.52	Facility		$219.98	$219.98	$256.52
United Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $172.03 / $256.52	Professional		$110.98	$172.03	$256.52