Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $562.34 / $1,258.93	Facility		$416.87	$562.34	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $173.78	Professional		$141.25	$165.96	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,412.54 / $15,488.17	Facility		$416.87	$1,412.54	$15,488.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $7,762.47	Professional		$457.09	$588.84	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $660.69 / $660.69	Facility		$269.15	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $436.52	Professional		$173.78	$223.87	$436.52