Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $275.42 / $575.44	Facility		$120.23	$275.42	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $263.03	Professional		$97.72	$177.83	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $177.83	Professional		$151.36	$173.78	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $389.05	Facility		$204.17	$269.15	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $275.42	Professional		$147.91	$158.49	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $316.23	Facility		$177.83	$177.83	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $194.98	Professional		$177.83	$177.83	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $457.09	Professional		$173.78	$173.78	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $354.81 / $354.81	Facility		$295.12	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $199.53	Professional		$154.88	$169.82	$199.53