Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $426.58 / $891.25	Facility		$199.53	$426.58	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $426.58	Professional		$190.55	$223.87	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $257.04 / $269.15	Facility		$218.78	$257.04	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $354.81	Professional		$125.89	$125.89	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $489.78	Facility		$257.04	$363.08	$489.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $407.38	Professional		$257.04	$331.13	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $660.69 / $660.69	Facility		$165.96	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $537.03 / $1,698.24	Professional		$131.83	$537.03	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $363.08	Professional		$112.20	$213.80	$363.08