Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.63 / $195.90 / $254.05	Facility		$137.63	$195.90	$254.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $195.90 / $224.91	Professional		$125.60	$195.90	$224.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $316.45 / $316.45	Professional		$316.45	$316.45	$316.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.39 / $395.80 / $415.99	Facility		$246.39	$395.80	$415.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $278.11 / $278.11	Professional		$205.84	$278.11	$278.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.85 / $558.08 / $675.12	Facility		$296.85	$558.08	$675.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $494.75 / $653.07	Professional		$376.01	$494.75	$653.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $485.63	Facility		$296.00	$296.00	$485.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $296.00 / $695.05	Professional		$216.08	$296.00	$695.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.85 / $252.26 / $315.32	Professional		$206.85	$252.26	$315.32
United Facility/Professional Professional Modifier Low / Median / High Price $134.93 / $197.46 / $334.71	Professional		$134.93	$197.46	$334.71