Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.81 / $200.81 / $653.76	Facility		$200.81	$200.81	$653.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.57 / $204.83 / $210.57	Professional		$190.57	$204.83	$210.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $316.45 / $316.45	Professional		$316.45	$316.45	$316.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.34 / $377.65 / $421.95	Facility		$333.34	$377.65	$421.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.48 / $278.11 / $374.66	Professional		$222.48	$278.11	$374.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.45 / $464.15 / $593.70	Facility		$316.45	$464.15	$593.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $358.66 / $464.15 / $569.63	Professional		$358.66	$464.15	$569.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $301.92 / $421.95	Facility		$296.00	$301.92	$421.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $296.00 / $432.85	Professional		$216.08	$296.00	$432.85
United Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $210.51 / $316.77	Professional		$125.94	$210.51	$316.77