Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.52 / $286.52 / $602.04	Facility		$286.52	$286.52	$602.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.52 / $293.97 / $334.80	Professional		$286.52	$293.97	$334.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $421.44 / $421.44 / $451.54	Professional		$421.44	$421.44	$451.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $475.62 / $538.83 / $602.04	Facility		$475.62	$538.83	$602.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.79 / $365.89 / $496.69	Professional		$293.79	$365.89	$496.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.54 / $662.26 / $903.08	Facility		$451.54	$662.26	$903.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $511.74 / $662.26 / $812.77	Professional		$511.74	$662.26	$812.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $602.04	Facility		$382.03	$382.03	$602.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $617.59	Professional		$278.88	$382.03	$617.59
United Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $300.36 / $455.72	Professional		$200.24	$300.36	$455.72