Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $263.03 / $630.96	Facility		$213.80	$263.03	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $436.52	Professional		$169.82	$208.93	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $275.42	Facility		$234.42	$263.03	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $295.12	Professional		$251.19	$295.12	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $371.54 / $501.19	Facility		$263.03	$371.54	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $416.87	Professional		$263.03	$338.84	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $269.15 / $457.09	Facility		$169.82	$269.15	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $426.58 / $1,258.93	Professional		$120.23	$426.58	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $288.40	Professional		$114.82	$173.78	$288.40