Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.77 / $381.77 / $654.99	Facility		$381.77	$381.77	$654.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $381.77 / $615.59	Professional		$349.75	$381.77	$615.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $673.52 / $673.52 / $942.93	Professional		$673.52	$673.52	$942.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.44 / $586.22 / $654.99	Facility		$517.44	$586.22	$654.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $685.32 / $923.26	Professional		$519.62	$685.32	$923.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.24 / $720.49 / $982.49	Facility		$536.24	$720.49	$982.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $556.74 / $720.49 / $884.24	Professional		$556.74	$720.49	$884.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $712.60	Facility		$636.97	$636.97	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $636.97 / $904.62	Professional		$464.99	$636.97	$904.62
United Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $519.62 / $769.49	Professional		$321.20	$519.62	$769.49