Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.22 / $161.22 / $263.95	Facility		$161.22	$161.22	$263.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $161.22 / $277.08	Professional		$140.94	$161.22	$277.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $302.31 / $302.31	Professional		$272.08	$302.31	$302.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.52 / $236.24 / $263.95	Facility		$208.52	$236.24	$263.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.63 / $295.79 / $398.48	Professional		$236.63	$295.79	$398.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.36 / $310.94 / $395.93	Facility		$224.36	$310.94	$395.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.36 / $290.35 / $356.33	Professional		$224.36	$290.35	$356.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.95 / $301.51 / $301.51	Facility		$263.95	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $367.76	Professional		$220.10	$301.51	$367.76
United Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $236.75 / $346.36	Professional		$147.19	$236.75	$346.36