Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.85 / $286.52 / $297.98	Facility		$218.85	$286.52	$297.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.82 / $293.97 / $334.80	Professional		$255.82	$293.97	$334.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $451.54 / $511.74 / $511.74	Professional		$451.54	$511.74	$511.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.78 / $602.04 / $632.75	Facility		$374.78	$602.04	$632.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $361.59 / $365.89	Professional		$281.58	$361.59	$365.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.54 / $842.87 / $993.38	Facility		$451.54	$842.87	$993.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.04 / $752.56 / $993.38	Professional		$602.04	$752.56	$993.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $786.63	Facility		$382.03	$382.03	$786.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $3,297.02	Professional		$278.88	$382.03	$3,297.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.63 / $383.70 / $479.62	Professional		$314.63	$383.70	$479.62
United Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $300.36 / $462.84	Professional		$200.24	$300.36	$462.84