Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $478.63	Professional		$257.04	$363.08	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $630.96	Professional		$389.05	$389.05	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $691.83	Facility		$79.43	$79.43	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $331.13 / $524.81	Professional		$41.69	$331.13	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $204.17 / $346.74	Facility		$30.20	$204.17	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $436.52	Professional		$138.04	$245.47	$436.52