Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.02 / $220.02 / $462.31	Facility		$220.02	$220.02	$462.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.62 / $220.02 / $228.82	Professional		$171.62	$220.02	$228.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.62 / $323.62 / $346.73	Professional		$323.62	$323.62	$346.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.22 / $413.77 / $462.31	Facility		$365.22	$413.77	$462.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $210.73 / $290.80	Professional		$208.25	$210.73	$290.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $485.43 / $647.23	Facility		$300.50	$485.43	$647.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.96 / $508.54 / $624.12	Professional		$392.96	$508.54	$624.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $462.31	Facility		$232.98	$232.98	$462.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $232.98 / $404.82	Professional		$170.08	$232.98	$404.82
United Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $230.64 / $323.83	Professional		$115.32	$230.64	$323.83