Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $457.09	Facility		$208.93	$208.93	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $295.12	Professional		$169.82	$208.93	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $120.23 / $208.93	Professional		$50.12	$120.23	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $524.81	Facility		$257.04	$338.84	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $331.13	Professional		$213.80	$213.80	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $234.42 / $389.05	Facility		$128.82	$234.42	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $295.12 / $354.81	Professional		$128.82	$295.12	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $588.84	Professional		$251.19	$251.19	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $269.15	Professional		$223.87	$245.47	$269.15