Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.04 / $165.02 / $171.62	Facility		$126.04	$165.02	$171.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.33 / $200.32 / $246.42	Professional		$147.33	$200.32	$246.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.06 / $294.73 / $346.73	Professional		$260.06	$294.73	$346.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.85 / $346.74 / $364.42	Facility		$215.85	$346.74	$364.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.01 / $208.25 / $225.53	Professional		$177.01	$208.25	$225.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.06 / $488.90 / $674.04	Facility		$260.06	$488.90	$674.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $468.10 / $647.23	Professional		$346.74	$468.10	$647.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $479.44	Facility		$232.98	$232.98	$479.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $232.98 / $2,009.46	Professional		$170.08	$232.98	$2,009.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.20 / $220.98 / $276.22	Professional		$181.20	$220.98	$276.22
United Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $172.98 / $277.39	Professional		$115.32	$172.98	$277.39