Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.78 / $256.67 / $776.57	Facility		$142.78	$256.67	$776.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $256.67 / $266.30	Professional		$256.67	$256.67	$266.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $192.50 / $192.50	Professional		$192.50	$192.50	$192.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.74 / $534.74 / $802.11	Facility		$280.74	$534.74	$802.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $224.00 / $318.08	Professional		$73.80	$224.00	$318.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $272.70 / $465.22	Facility		$185.20	$272.70	$465.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $203.72 / $240.76	Professional		$185.20	$203.72	$240.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $320.83	Professional		$272.70	$272.70	$320.83
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $357.15	Professional		$267.37	$267.37	$357.15