Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $302.00 / $524.81	Facility		$141.25	$302.00	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $162.18	Professional		$75.86	$114.82	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $141.25	Professional		$35.48	$70.79	$141.25
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 $70.79 / $70.79 / $147.91	Professional		$70.79	$70.79	$147.91
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 / $158.49 / $199.53	Professional		$141.25	$158.49	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $288.40	Facility		$102.33	$141.25	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $275.42	Professional		$81.28	$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 / $158.49	Professional		$60.26	$85.11	$158.49