Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.33 / $187.33 / $378.49	Facility		$187.33	$187.33	$378.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $203.06 / $701.78	Professional		$187.33	$203.06	$701.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $283.87 / $283.87	Professional		$280.00	$283.87	$283.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.01 / $338.75 / $378.49	Facility		$299.01	$338.75	$378.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $221.34 / $298.80	Professional		$110.78	$221.34	$298.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.47 / $416.34 / $567.74	Facility		$323.47	$416.34	$567.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $378.49 / $454.19 / $532.77	Professional		$378.49	$454.19	$532.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $378.49	Facility		$211.27	$211.27	$378.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $211.27 / $388.26	Professional		$154.22	$211.27	$388.26
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $180.94 / $254.14	Professional		$112.45	$180.94	$254.14