Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.76 / $625.16 / $1,375.37	Facility		$341.76	$625.16	$1,375.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.26 / $341.76 / $395.94	Professional		$329.26	$341.76	$395.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $375.10 / $1,250.33	Facility		$329.26	$375.10	$1,250.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $205.82 / $397.23	Professional		$205.82	$205.82	$397.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $500.14 / $583.49	Facility		$416.78	$500.14	$583.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $500.14 / $625.16	Professional		$416.78	$500.14	$625.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.46 / $416.78 / $1,077.41	Facility		$334.46	$416.78	$1,077.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.13 / $299.97 / $734.41	Professional		$250.13	$299.97	$734.41
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $458.04	Professional		$175.05	$250.07	$458.04