Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.32 / $170.32 / $357.88	Facility		$170.32	$170.32	$357.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.63 / $173.72 / $185.56	Professional		$163.63	$173.72	$185.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $250.52 / $268.41	Professional		$250.52	$250.52	$268.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.73 / $320.30 / $357.88	Facility		$282.73	$320.30	$357.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.59 / $202.82 / $277.45	Professional		$174.59	$202.82	$277.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.41 / $393.67 / $501.03	Facility		$268.41	$393.67	$501.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $393.67 / $483.14	Professional		$304.20	$393.67	$483.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $357.88	Facility		$209.59	$209.59	$357.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $209.59 / $367.12	Professional		$153.00	$209.59	$367.12
United Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $250.82 / $264.02	Facility		$219.98	$250.82	$264.02
United Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $178.54 / $252.93	Professional		$110.98	$178.54	$252.93