Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $33.95 / $166.07	Facility		$14.55	$33.95	$166.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $166.07 / $185.87	Professional		$159.69	$166.07	$185.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.87 / $234.87 / $251.65	Professional		$234.87	$234.87	$251.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.07 / $300.30 / $335.53	Facility		$265.07	$300.30	$335.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $186.65 / $257.57	Professional		$163.68	$186.65	$257.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.65 / $369.08 / $469.74	Facility		$251.65	$369.08	$469.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $369.08 / $452.97	Professional		$285.20	$369.08	$452.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $335.53	Facility		$216.42	$216.42	$335.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $344.20	Professional		$157.99	$216.42	$344.20
United Facility/Professional Facility Modifier Low / Median / High Price $104.55 / $167.26 / $244.87	Facility		$104.55	$167.26	$244.87
United Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $160.40 / $234.25	Professional		$102.93	$160.40	$234.25