Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.08 / $130.01 / $347.45	Facility		$113.08	$130.01	$347.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $106.96 / $169.22	Professional		$94.10	$106.96	$169.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $130.16 / $143.50	Professional		$130.16	$130.16	$143.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $951.97 / $3,500.00	Facility		$107.30	$951.97	$3,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $107.30 / $152.36	Professional		$100.13	$107.30	$152.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.13 / $130.16 / $150.19	Facility		$100.13	$130.16	$150.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $115.15 / $150.19	Professional		$100.13	$115.15	$150.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $140.44 / $220.81	Professional		$101.59	$140.44	$220.81
United Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $118.19 / $196.18	Professional		$92.19	$118.19	$196.18