Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $245.47 / $524.81	Facility		$141.25	$245.47	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $186.21	Professional		$93.33	$112.20	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $120.23	Professional		$70.79	$85.11	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $426.58	Facility		$141.25	$141.25	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $120.23	Professional		$57.54	$57.54	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $169.82 / $190.55	Facility		$134.90	$169.82	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $199.53	Professional		$141.25	$162.18	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $257.04	Facility		$93.33	$134.90	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $275.42	Professional		$64.57	$128.82	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $141.25	Professional		$60.26	$85.11	$141.25