Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $309.03	Professional		$169.82	$208.93	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $436.52	Professional		$309.03	$323.59	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $436.52 / $537.03	Facility		$204.17	$436.52	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $371.54	Professional		$199.53	$208.93	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $426.58 / $512.86	Facility		$338.84	$426.58	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $380.19	Facility		$165.96	$229.09	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $371.54	Professional		$165.96	$165.96	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $251.19 / $338.84	Facility		$131.83	$251.19	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $281.84	Professional		$112.20	$199.53	$281.84