Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.10 / $575.66 / $1,841.95	Facility		$261.10	$575.66	$1,841.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $258.64 / $310.37	Professional		$258.63	$258.64	$310.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $248.93 / $248.93	Professional		$248.93	$248.93	$248.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $517.28 / $625.91	Facility		$258.64	$517.28	$625.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $356.92	Professional		$258.64	$258.64	$356.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $258.64 / $387.96	Facility		$258.64	$258.64	$387.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $323.30	Professional		$258.64	$258.64	$323.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Facility		$258.64	$258.64	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $292.80	Professional		$258.64	$258.64	$292.80
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $274.16 / $304.22	Professional		$258.64	$274.16	$304.22