Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.70 / $176.70 / $371.28	Facility		$176.70	$176.70	$371.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.82 / $176.70 / $183.76	Professional		$137.82	$176.70	$183.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.89 / $259.89 / $259.89	Professional		$259.89	$259.89	$259.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $332.30 / $371.28	Facility		$293.31	$332.30	$371.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $169.19 / $231.54	Professional		$167.25	$169.19	$231.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.33 / $389.84 / $519.79	Facility		$241.33	$389.84	$519.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $408.41 / $501.23	Professional		$315.58	$408.41	$501.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $371.28	Facility		$177.64	$177.64	$371.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $325.10	Professional		$129.68	$177.64	$325.10
United Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $185.23 / $248.09	Professional		$92.62	$185.23	$248.09