Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $302.00	Professional		$151.36	$234.42	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $407.38	Professional		$223.87	$223.87	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $169.82 / $223.87	Facility		$30.20	$169.82	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $169.82 / $223.87	Professional		$28.84	$169.82	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $257.04	Facility		$194.98	$194.98	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $295.12	Professional		$165.96	$194.98	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $46.77 / $229.09	Facility		$18.62	$46.77	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $36.31 / $281.84	Professional		$11.48	$36.31	$281.84