Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.83 / $70.64 / $152.65	Facility		$41.83	$70.64	$152.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $117.78 / $174.32	Professional		$96.60	$117.78	$174.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $96.59 / $140.00	Professional		$90.90	$96.59	$140.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $15.12 / $105.00	Facility		$15.12	$15.12	$105.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $19.95 / $78.48	Professional		$15.12	$19.95	$78.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $101.60 / $155.69	Facility		$37.70	$101.60	$155.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $97.69 / $147.72	Professional		$38.10	$97.69	$147.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.07 / $219.56 / $412.87	Facility		$85.07	$219.56	$412.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $170.78 / $247.04	Professional		$110.82	$170.78	$247.04
United Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $168.92 / $259.49	Professional		$121.24	$168.92	$259.49