Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $436.52 / $870.96	Facility		$263.03	$436.52	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $257.04	Professional		$169.82	$213.80	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $186.21	Professional		$117.49	$131.83	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $794.33	Facility		$263.03	$263.03	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $295.12	Professional		$104.71	$104.71	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $263.03 / $263.03	Facility		$208.93	$263.03	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $371.54	Professional		$263.03	$288.40	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $467.74	Facility		$190.55	$269.15	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $501.19	Professional		$128.82	$234.42	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $288.40	Professional		$109.65	$158.49	$288.40