Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.21 / $249.04 / $259.00	Facility		$190.21	$249.04	$259.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.34 / $255.51 / $290.99	Professional		$222.34	$255.51	$290.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $392.46 / $392.46 / $392.46	Professional		$392.46	$392.46	$392.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.74 / $523.28 / $549.97	Facility		$325.74	$523.28	$549.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.75 / $314.27 / $317.41	Professional		$244.75	$314.27	$317.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.46 / $732.59 / $863.41	Facility		$392.46	$732.59	$863.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $523.28 / $654.10 / $863.41	Professional		$523.28	$654.10	$863.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $657.88	Facility		$338.50	$338.50	$657.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $338.50 / $2,757.38	Professional		$247.11	$338.50	$2,757.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.47 / $333.50 / $416.87	Professional		$273.47	$333.50	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $261.06 / $402.28	Professional		$174.04	$261.06	$402.28