Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.02 / $313.60 / $2,398.00	Facility		$275.02	$313.60	$2,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.24 / $275.02 / $558.63	Professional		$242.24	$275.02	$558.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.76 / $416.76 / $416.76	Professional		$416.76	$416.76	$416.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.99 / $497.33 / $555.67	Facility		$438.99	$497.33	$555.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $270.51 / $373.30	Professional		$255.09	$270.51	$373.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $395.32 / $583.46 / $777.95	Facility		$395.32	$583.46	$777.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $472.33 / $611.25 / $750.17	Professional		$472.33	$611.25	$750.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $555.67	Facility		$293.31	$293.31	$555.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $293.31 / $570.03	Professional		$214.12	$293.31	$570.03
United Facility/Professional Facility Modifier Low / Median / High Price $696.97 / $696.97 / $696.97	Facility		$696.97	$696.97	$696.97
United Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $260.95 / $358.10	Professional		$144.88	$260.95	$358.10