Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.21 / $249.21 / $503.51	Facility		$249.21	$249.21	$503.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.21 / $263.58 / $327.31	Professional		$249.21	$263.58	$327.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $503.51 / $503.51 / $503.51	Professional		$503.51	$503.51	$503.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.77 / $450.64 / $503.51	Facility		$397.77	$450.64	$503.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $302.33 / $417.21	Professional		$245.63	$302.33	$417.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.98 / $553.86 / $755.27	Facility		$427.98	$553.86	$755.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $427.98 / $553.86 / $679.74	Professional		$427.98	$553.86	$679.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $319.76 / $503.51	Facility		$319.76	$319.76	$503.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $233.42 / $516.50	Professional		$233.42	$233.42	$516.50
United Facility/Professional Professional Modifier Low / Median / High Price $167.46 / $251.20 / $370.93	Professional		$167.46	$251.20	$370.93