Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $398.11 / $1,380.38	Facility		$158.49	$398.11	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $316.23	Professional		$134.90	$165.96	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $323.59 / $407.38	Facility		$169.82	$323.59	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $309.03	Professional		$154.88	$169.82	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $398.11 / $478.63	Facility		$316.23	$398.11	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $323.59	Facility		$128.82	$177.83	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $275.42	Professional		$128.82	$128.82	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $251.19	Facility		$109.65	$213.80	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $213.80	Professional		$93.33	$151.36	$213.80