Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.54 / $279.54 / $564.79	Facility		$279.54	$279.54	$564.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.48 / $284.77 / $303.36	Professional		$220.48	$284.77	$303.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.60 / $423.60 / $423.60	Professional		$423.60	$423.60	$423.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.19 / $505.50 / $564.79	Facility		$446.19	$505.50	$564.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.65 / $304.57 / $420.30	Professional		$243.65	$304.57	$420.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $425.86 / $621.28 / $847.20	Facility		$425.86	$621.28	$847.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $480.08 / $621.28 / $762.48	Professional		$480.08	$621.28	$762.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $564.79	Facility		$315.25	$315.25	$564.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $315.25 / $579.37	Professional		$230.13	$315.25	$579.37
United Facility/Professional Professional Modifier Low / Median / High Price $167.80 / $279.25 / $379.23	Professional		$167.80	$279.25	$379.23