Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.15 / $648.33 / $908.40	Facility		$242.15	$648.33	$908.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.03 / $482.10 / $648.33	Professional		$343.03	$482.10	$648.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.32 / $463.09 / $520.97	Professional		$347.32	$463.09	$520.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $500.14	Facility		$416.78	$416.78	$500.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $270.91 / $416.78	Professional		$270.91	$270.91	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.26 / $479.75 / $1,057.05	Facility		$314.26	$479.75	$1,057.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.38 / $379.72 / $622.20	Professional		$233.38	$379.72	$622.20
United Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Facility		$416.78	$416.78	$416.78
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $283.58 / $621.41	Professional		$175.05	$283.58	$621.41