Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.96 / $209.96 / $424.21	Facility		$209.96	$209.96	$424.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.66 / $209.96 / $336.09	Professional		$181.66	$209.96	$336.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $296.95 / $318.16	Professional		$296.95	$296.95	$318.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.13 / $379.67 / $424.21	Facility		$335.13	$379.67	$424.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $206.00 / $284.27	Professional		$199.58	$206.00	$284.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.69 / $445.42 / $593.89	Facility		$289.69	$445.42	$593.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $360.58 / $466.63 / $572.67	Professional		$360.58	$466.63	$572.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $424.21	Facility		$229.50	$229.50	$424.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $435.16	Professional		$167.54	$229.50	$435.16
United Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $198.37 / $283.44	Professional		$113.35	$198.37	$283.44