Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $977.24	Facility		$218.78	$457.09	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $302.00	Professional		$144.54	$181.97	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $457.09	Professional		$218.78	$234.42	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $173.78	Facility		$89.13	$89.13	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $173.78	Professional		$89.13	$120.23	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $2,454.71	Facility		$190.55	$263.03	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $302.00	Professional		$104.71	$199.53	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $229.09	Facility		$218.78	$218.78	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $338.84	Professional		$144.54	$208.93	$338.84