Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.65 / $181.53 / $188.79	Facility		$138.65	$181.53	$188.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $186.25 / $260.70	Professional		$162.07	$186.25	$260.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.07 / $324.22 / $324.22	Professional		$286.07	$324.22	$324.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.44 / $381.43 / $400.88	Facility		$237.44	$381.43	$400.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.41 / $229.09 / $231.73	Professional		$178.41	$229.09	$231.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.07 / $534.00 / $815.63	Facility		$286.07	$534.00	$815.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.43 / $476.79 / $629.36	Professional		$381.43	$476.79	$629.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $492.37	Facility		$248.05	$248.05	$492.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $2,063.67	Professional		$181.08	$248.05	$2,063.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.34 / $243.10 / $303.87	Professional		$199.34	$243.10	$303.87
United Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $190.30 / $293.23	Professional		$126.86	$190.30	$293.23