Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $218.78	Facility		$213.80	$213.80	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $371.54	Professional		$190.55	$218.78	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $457.09 / $478.63	Facility		$407.38	$457.09	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $269.15	Professional		$208.93	$239.88	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $776.25	Facility		$338.84	$602.56	$776.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $707.95	Professional		$446.68	$562.34	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $707.95 / $707.95	Facility		$288.40	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $457.09 / $2,137.96	Professional		$208.93	$457.09	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $363.08	Professional		$218.78	$281.84	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $316.23	Facility		$263.03	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $302.00	Professional		$147.91	$223.87	$302.00