Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $512.86	Professional		$295.12	$371.54	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $776.25 / $954.99	Facility		$380.19	$776.25	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $691.83	Professional		$380.19	$380.19	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $812.83 / $954.99	Facility		$645.65	$812.83	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $776.25	Facility		$398.11	$398.11	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $660.69	Professional		$288.40	$288.40	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $501.19 / $602.56	Facility		$416.87	$501.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $501.19	Professional		$208.93	$371.54	$501.19