Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.97 / $699.39 / $2,623.54	Facility		$156.97	$699.39	$2,623.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $178.21 / $591.00	Professional		$176.44	$178.21	$591.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $176.45	Professional		$155.41	$155.41	$176.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $352.90 / $427.01	Facility		$176.45	$352.90	$427.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $243.50	Professional		$176.45	$176.45	$243.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $176.45 / $264.68	Facility		$155.41	$176.45	$264.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $220.56	Professional		$176.45	$176.45	$220.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $176.45 / $235.03	Facility		$176.45	$176.45	$235.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $336.11	Professional		$176.45	$176.45	$336.11
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $187.04 / $235.70	Professional		$176.45	$187.04	$235.70