Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.65 / $336.65 / $680.18	Facility		$336.65	$336.65	$680.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.08 / $336.65 / $365.33	Professional		$281.08	$336.65	$365.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $476.13 / $510.14 / $680.18	Professional		$476.13	$510.14	$680.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.34 / $608.76 / $680.18	Facility		$537.34	$608.76	$680.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.73 / $307.66 / $424.57	Professional		$298.73	$307.66	$424.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $464.86 / $714.19 / $952.25	Facility		$464.86	$714.19	$952.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $578.15 / $748.20 / $918.24	Professional		$578.15	$748.20	$918.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $680.18	Facility		$361.45	$361.45	$680.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $595.59	Professional		$263.86	$361.45	$595.59
United Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $313.74 / $434.49	Professional		$169.66	$313.74	$434.49