Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.06 / $246.06 / $246.06	Facility		$246.06	$246.06	$246.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $246.06 / $258.83	Professional		$150.34	$246.06	$258.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.61 / $319.61 / $319.61	Professional		$319.61	$319.61	$319.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.17 / $336.67 / $376.17	Facility		$297.17	$336.67	$376.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.00 / $348.44 / $459.94	Professional		$293.00	$348.44	$459.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $301.73 / $532.47	Facility		$37.61	$301.73	$532.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $296.24 / $496.99	Professional		$31.98	$296.24	$496.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $319.16	Facility		$243.17	$243.17	$319.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $243.17 / $459.94	Professional		$206.69	$243.17	$459.94
United Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $196.96 / $340.90	Professional		$123.63	$196.96	$340.90