Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $354.81	Professional		$208.93	$288.40	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $588.84	Facility		$380.19	$467.74	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $724.44	Professional		$363.08	$489.78	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $691.83 / $1,000.00	Facility		$69.18	$691.83	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Facility		$302.00	$302.00	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $630.96	Professional		$257.04	$302.00	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $223.87 / $416.87	Facility		$26.92	$223.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $489.78	Professional		$158.49	$295.12	$489.78