Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.02 / $212.02 / $214.92	Facility		$212.02	$212.02	$214.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $216.50 / $286.95	Professional		$195.53	$216.50	$286.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.17 / $238.37 / $238.37	Professional		$197.17	$238.37	$238.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.94 / $177.94 / $343.42	Facility		$177.94	$177.94	$343.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $177.94 / $240.21	Professional		$145.91	$177.94	$240.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.97 / $256.32 / $278.41	Facility		$175.97	$256.32	$278.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.17 / $236.60 / $292.33	Professional		$197.17	$236.60	$292.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.49 / $234.88 / $370.70	Professional		$203.49	$234.88	$370.70
United Facility/Professional Facility Modifier Low / Median / High Price $866.00 / $2,291.00 / $4,426.00	Facility		$866.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.22 / $204.12 / $340.30	Professional		$163.22	$204.12	$340.30