Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $229.09 / $371.54	Facility		$117.49	$229.09	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $269.15	Professional		$95.50	$114.82	$269.15
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 $117.49 / $141.25 / $151.36	Facility		$117.49	$141.25	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $234.42	Facility		$169.82	$199.53	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $229.09	Professional		$141.25	$186.21	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $194.98 / $229.09	Facility		$93.33	$194.98	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $245.47 / $691.83	Professional		$66.07	$245.47	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $141.25	Professional		$60.26	$85.11	$141.25