Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $213.80 / $346.74	Facility		$112.20	$213.80	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $275.42	Professional		$85.11	$117.49	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $245.47	Professional		$38.90	$74.13	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $151.36	Facility		$128.82	$141.25	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $177.83	Professional		$95.50	$95.50	$177.83
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 / $229.09 / $275.42	Facility		$93.33	$229.09	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $288.40 / $691.83	Professional		$66.07	$288.40	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $177.83	Professional		$61.66	$104.71	$177.83