Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.61 / $207.67 / $215.97	Facility		$158.61	$207.67	$215.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $229.37 / $256.89	Professional		$185.41	$229.37	$256.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.27 / $327.27 / $361.48	Professional		$327.27	$327.27	$361.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.63 / $436.36 / $458.61	Facility		$271.63	$436.36	$458.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.09 / $262.13 / $264.64	Professional		$204.09	$262.13	$264.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $327.27 / $615.27 / $802.26	Facility		$327.27	$615.27	$802.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $414.54 / $554.27 / $719.99	Professional		$414.54	$554.27	$719.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $567.71	Facility		$311.77	$311.77	$567.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $311.77 / $2,379.44	Professional		$227.60	$311.77	$2,379.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $278.10 / $347.62	Professional		$228.04	$278.10	$347.62
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $223.19 / $335.46	Professional		$145.13	$223.19	$335.46