Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.59 / $250.59 / $250.59	Facility		$250.59	$250.59	$250.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $197.50 / $271.61	Professional		$142.71	$197.50	$271.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.94 / $345.94 / $386.28	Professional		$345.94	$345.94	$386.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.20 / $331.03 / $369.87	Facility		$292.20	$331.03	$369.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.14 / $292.14 / $385.62	Professional		$292.14	$292.14	$385.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.99 / $293.23 / $573.44	Facility		$36.99	$293.23	$573.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $291.27 / $527.80	Professional		$33.89	$291.27	$527.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $325.88	Facility		$243.42	$243.42	$325.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $250.72 / $431.25	Professional		$206.91	$250.72	$431.25
United Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $200.63 / $333.00	Professional		$121.78	$200.63	$333.00