Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.04 / $249.04 / $523.28	Facility		$249.04	$249.04	$523.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.04 / $255.51 / $278.92	Professional		$249.04	$255.51	$278.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.30 / $366.30 / $392.46	Professional		$366.30	$366.30	$392.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.39 / $468.34 / $523.28	Facility		$413.39	$468.34	$523.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.28 / $317.41 / $428.50	Professional		$255.28	$317.41	$428.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.46 / $575.61 / $784.92	Facility		$392.46	$575.61	$784.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $444.79 / $575.61 / $706.43	Professional		$444.79	$575.61	$706.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $523.28	Facility		$338.50	$338.50	$523.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $338.50 / $493.06	Professional		$247.11	$338.50	$493.06
United Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $261.06 / $393.34	Professional		$174.04	$261.06	$393.34