Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.80 / $187.80 / $379.44	Facility		$187.80	$187.80	$379.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.80 / $202.37 / $239.57	Professional		$187.80	$202.37	$239.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $284.58 / $368.00	Professional		$280.00	$284.58	$368.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.76 / $339.60 / $379.44	Facility		$299.76	$339.60	$379.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $230.17 / $317.63	Professional		$185.11	$230.17	$317.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.52 / $417.38 / $569.16	Facility		$322.52	$417.38	$569.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $322.52 / $417.38 / $512.24	Professional		$322.52	$417.38	$512.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $379.44	Facility		$225.12	$237.10	$379.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $389.24	Professional		$173.08	$237.10	$389.24
United Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $189.30 / $279.52	Professional		$126.20	$189.30	$279.52