Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.10 / $291.10 / $909.50	Facility		$291.10	$291.10	$909.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $258.67 / $348.87	Professional		$74.28	$258.67	$348.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.64 / $232.64 / $232.64	Professional		$232.64	$232.64	$232.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $93.07 / $179.63	Facility		$93.07	$93.07	$179.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $93.07 / $186.14	Professional		$91.21	$93.07	$186.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.15 / $300.18 / $350.21	Facility		$250.15	$300.18	$350.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.15 / $287.05 / $349.95	Professional		$250.15	$287.05	$349.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.98 / $310.98 / $310.98	Facility		$310.98	$310.98	$310.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $347.05 / $847.70	Professional		$122.85	$347.05	$847.70
United Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $84.60 / $156.75	Professional		$66.20	$84.60	$156.75