Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.60 / $286.67 / $337.26	Facility		$219.60	$286.67	$337.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.85 / $292.81 / $375.39	Professional		$242.85	$292.81	$375.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.26 / $354.41 / $462.41	Professional		$316.26	$354.41	$462.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.92 / $98.92 / $158.27	Facility		$98.92	$98.92	$158.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.08 / $291.19 / $444.54	Professional		$227.08	$291.19	$444.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.70 / $444.63 / $533.54	Facility		$355.70	$444.63	$533.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $470.51 / $588.14	Professional		$392.09	$470.51	$588.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $378.23 / $444.15	Professional		$360.00	$378.23	$444.15
United Facility/Professional Professional Modifier Low / Median / High Price $310.62 / $392.10 / $608.69	Professional		$310.62	$392.10	$608.69