Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.95 / $218.95 / $442.37	Facility		$218.95	$218.95	$442.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.94 / $227.37 / $265.68	Professional		$218.94	$227.37	$265.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.66 / $309.66 / $309.66	Professional		$309.66	$309.66	$309.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.47 / $395.92 / $442.37	Facility		$349.47	$395.92	$442.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.80 / $262.63 / $362.42	Professional		$215.80	$262.63	$362.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.78 / $486.61 / $663.56	Facility		$331.78	$486.61	$663.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $486.61 / $597.20	Professional		$376.01	$486.61	$597.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $442.37	Facility		$345.03	$345.03	$442.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $345.03 / $453.79	Professional		$251.87	$345.03	$453.79
United Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $220.69 / $325.89	Professional		$147.13	$220.69	$325.89