Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.52 / $298.52 / $298.52	Facility		$298.52	$298.52	$298.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $298.52 / $316.02	Professional		$255.61	$298.52	$316.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.98 / $342.98 / $342.98	Professional		$342.98	$342.98	$342.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.16 / $428.42 / $478.68	Facility		$378.16	$428.42	$478.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.45 / $373.92 / $493.57	Professional		$265.45	$373.92	$493.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $359.01 / $622.28	Facility		$43.19	$359.01	$622.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $323.80 / $574.41	Professional		$40.69	$323.80	$574.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $333.25	Facility		$333.25	$333.25	$333.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $512.51	Professional		$283.26	$333.25	$512.51
United Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $238.87 / $376.07	Professional		$159.24	$238.87	$376.07