Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.99 / $278.86 / $290.01	Facility		$212.99	$278.86	$290.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.97 / $286.11 / $325.83	Professional		$248.97	$286.11	$325.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $439.46 / $439.46 / $439.46	Professional		$439.46	$439.46	$439.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.75 / $585.94 / $615.82	Facility		$364.75	$585.94	$615.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.06 / $351.91 / $355.30	Professional		$274.06	$351.91	$355.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.46 / $820.32 / $966.80	Facility		$439.46	$820.32	$966.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $585.94 / $732.43 / $966.80	Professional		$585.94	$732.43	$966.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $768.84	Facility		$379.03	$379.03	$768.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $370.90 / $3,222.46	Professional		$276.69	$370.90	$3,222.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $306.21 / $373.43 / $466.78	Professional		$306.21	$373.43	$466.78
United Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $292.32 / $468.75	Professional		$194.88	$292.32	$468.75