Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.88 / $206.88 / $434.70	Facility		$206.88	$206.88	$434.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $212.26 / $241.73	Professional		$206.88	$212.26	$241.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.29 / $304.29 / $326.02	Professional		$304.29	$304.29	$326.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.41 / $389.06 / $434.70	Facility		$343.41	$389.06	$434.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $264.67 / $358.62	Professional		$212.00	$264.67	$358.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.02 / $478.17 / $652.04	Facility		$326.02	$478.17	$652.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $369.50 / $478.17 / $586.85	Professional		$369.50	$478.17	$586.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $434.70	Facility		$281.20	$281.20	$434.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $281.20 / $437.84	Professional		$205.28	$281.20	$437.84
United Facility/Professional Professional Modifier Low / Median / High Price $144.58 / $216.86 / $326.75	Professional		$144.58	$216.86	$326.75