Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $213.80	Facility		$204.17	$204.17	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $363.08	Professional		$186.21	$213.80	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $436.52	Professional		$213.80	$346.74	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $467.74	Facility		$398.11	$446.68	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $275.42	Professional		$204.17	$263.03	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $588.84 / $758.58	Facility		$323.59	$588.84	$758.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $691.83	Professional		$436.52	$549.54	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $776.25 / $776.25	Facility		$281.84	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $2,344.23	Professional		$204.17	$371.54	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $371.54	Professional		$229.09	$288.40	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $288.40 / $331.13	Facility		$120.23	$288.40	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $331.13	Professional		$144.54	$218.78	$331.13