Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.94 / $290.94 / $290.94	Facility		$290.94	$290.94	$290.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $290.94 / $349.75	Professional		$232.30	$290.94	$349.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Professional		$15.60	$15.60	$15.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.39 / $300.39 / $579.77	Facility		$300.39	$300.39	$579.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $300.39 / $405.54	Professional		$240.32	$300.39	$405.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $58.02 / $72.09	Facility		$45.06	$58.02	$72.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $54.07 / $65.81	Professional		$45.06	$54.07	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $417.07	Facility		$64.00	$64.00	$417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $61.57 / $102.05	Professional		$56.79	$61.57	$102.05
United Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $28.06 / $43.89	Professional		$15.45	$28.06	$43.89