Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $257.04 / $354.81	Facility		$128.82	$257.04	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $199.53	Professional		$93.33	$112.20	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $109.65	Professional		$81.28	$91.20	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $239.88	Facility		$123.03	$123.03	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $204.17	Professional		$117.49	$123.03	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $257.04	Professional		$109.65	$165.96	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $190.55	Professional		$100.00	$120.23	$190.55