Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $165.96 / $229.09	Facility		$83.18	$165.96	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $173.78	Professional		$61.66	$75.86	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $66.07	Professional		$52.48	$53.70	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $158.49	Facility		$81.28	$81.28	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $134.90	Professional		$77.62	$81.28	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $154.88	Professional		$72.44	$104.71	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $125.89	Professional		$66.07	$79.43	$125.89