Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.83 / $291.07 / $365.40	Facility		$256.83	$291.07	$365.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.83 / $324.54 / $397.02	Professional		$256.83	$324.54	$397.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $340.00 / $389.77	Professional		$340.00	$340.00	$389.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $359.16 / $491.04 / $592.61	Facility		$359.16	$491.04	$592.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.68 / $490.11 / $925.50	Professional		$384.68	$490.11	$925.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.43 / $378.23 / $378.23	Professional		$192.43	$378.23	$378.23
United Facility/Professional Professional Modifier Low / Median / High Price $320.57 / $416.97 / $742.05	Professional		$320.57	$416.97	$742.05