Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.08 / $439.08 / $439.08	Facility		$439.08	$439.08	$439.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.49 / $439.08 / $472.43	Professional		$336.49	$439.08	$472.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $432.00	Professional		$432.00	$432.00	$432.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.49 / $574.94 / $642.39	Facility		$507.49	$574.94	$642.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.56 / $711.75 / $939.51	Professional		$510.56	$711.75	$939.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $94.52 / $817.43	Facility		$54.87	$94.52	$817.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $85.06 / $858.30	Professional		$53.56	$85.06	$858.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $459.79	Facility		$459.79	$459.79	$459.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $459.79 / $799.23	Professional		$390.82	$459.79	$799.23
United Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $315.58 / $682.41	Professional		$196.04	$315.58	$682.41