Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $144.54 / $338.84	Facility		$91.20	$144.54	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $173.78	Professional		$64.57	$81.28	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $275.42	Facility		$91.20	$91.20	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $91.20	Professional		$43.65	$43.65	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $91.20 / $91.20	Facility		$74.13	$91.20	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $128.82	Professional		$91.20	$100.00	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $91.20 / $204.17	Facility		$74.13	$91.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $186.21	Professional		$57.54	$104.71	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $100.00	Professional		$38.90	$54.95	$100.00