Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.53 / $181.53 / $381.43	Facility		$181.53	$181.53	$381.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $186.25 / $217.83	Professional		$181.53	$186.25	$217.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $267.00 / $286.07	Professional		$267.00	$267.00	$286.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.33 / $341.38 / $381.43	Facility		$301.33	$341.38	$381.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $231.73 / $312.83	Professional		$186.08	$231.73	$312.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.07 / $419.57 / $572.15	Facility		$286.07	$419.57	$572.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $324.22 / $419.57 / $514.92	Professional		$324.22	$419.57	$514.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $381.43	Facility		$248.05	$248.05	$381.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $248.05 / $358.90	Professional		$181.08	$248.05	$358.90
United Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $190.30 / $286.70	Professional		$126.86	$190.30	$286.70