Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.69 / $250.98 / $261.01	Facility		$191.69	$250.98	$261.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.08 / $257.50 / $339.72	Professional		$224.08	$257.50	$339.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $395.52 / $395.52 / $395.52	Professional		$395.52	$395.52	$395.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.28 / $527.36 / $554.26	Facility		$328.28	$527.36	$554.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.66 / $316.74 / $319.89	Professional		$246.66	$316.74	$319.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $395.52 / $738.30 / $1,062.84	Facility		$395.52	$738.30	$1,062.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $527.36 / $659.20 / $870.14	Professional		$527.36	$659.20	$870.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $682.43	Facility		$329.53	$329.53	$682.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $329.53 / $2,860.28	Professional		$240.56	$329.53	$2,860.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.60 / $336.10 / $420.12	Professional		$275.60	$336.10	$420.12
United Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $263.08 / $405.42	Professional		$175.40	$263.08	$405.42