Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.13 / $284.13 / $597.02	Facility		$284.13	$284.13	$597.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $291.52 / $341.60	Professional		$284.13	$291.52	$341.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $417.91 / $417.91 / $447.77	Professional		$417.91	$417.91	$447.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.65 / $534.33 / $597.02	Facility		$471.65	$534.33	$597.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.80 / $412.43 / $556.78	Professional		$322.80	$412.43	$556.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.47 / $656.72 / $895.53	Facility		$507.47	$656.72	$895.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $507.47 / $656.72 / $805.98	Professional		$507.47	$656.72	$805.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $597.02	Facility		$380.63	$380.63	$597.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $612.42	Professional		$277.86	$380.63	$612.42
United Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $297.85 / $451.90	Professional		$198.56	$297.85	$451.90