Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.76 / $650.17 / $1,375.37	Facility		$341.76	$650.17	$1,375.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $341.76 / $393.63	Professional		$220.89	$341.76	$393.63
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 / $458.46 / $590.79	Professional		$416.78	$458.46	$590.79
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 $249.03 / $280.39 / $659.25	Professional		$249.03	$280.39	$659.25
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $254.82 / $458.04	Professional		$175.05	$254.82	$458.04