Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.33 / $428.49 / $733.83	Facility		$193.33	$428.49	$733.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $203.01 / $391.55	Professional		$193.33	$203.01	$391.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $273.43 / $292.97	Professional		$249.02	$273.43	$292.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.58 / $349.60 / $390.62	Facility		$308.58	$349.60	$390.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $221.05 / $298.41	Professional		$150.96	$221.05	$298.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.97 / $410.15 / $552.35	Facility		$292.97	$410.15	$552.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.03 / $429.68 / $546.87	Professional		$332.03	$429.68	$546.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $390.62	Facility		$233.36	$233.36	$390.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $233.36 / $400.68	Professional		$170.35	$233.36	$400.68
United Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $186.18 / $276.33	Professional		$121.42	$186.18	$276.33