Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $758.58	Professional		$446.68	$501.19	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $741.31	Professional		$660.69	$660.69	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $954.99 / $1,202.26	Facility		$562.34	$954.99	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $977.24	Professional		$562.34	$562.34	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,412.54	Facility		$933.25	$1,174.90	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $954.99	Facility		$588.84	$588.84	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $870.96	Professional		$426.58	$426.58	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $741.31	Facility		$616.60	$724.44	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $707.95	Professional		$309.03	$467.74	$707.95