Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.95 / $301.07 / $396.15	Facility		$116.95	$301.07	$396.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $114.10 / $184.21	Professional		$75.59	$114.10	$184.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $178.29 / $178.29	Professional		$178.29	$178.29	$178.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.79 / $142.63 / $176.34	Facility		$88.79	$142.63	$176.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $95.03 / $176.34	Professional		$70.54	$95.03	$176.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $199.68 / $235.34	Facility		$156.88	$199.68	$235.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $185.42 / $239.62	Professional		$142.63	$185.42	$239.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $108.84 / $188.20	Facility		$92.71	$108.84	$188.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $176.34 / $687.48	Professional		$65.67	$176.34	$687.48
United Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $105.80 / $176.34	Professional		$61.76	$105.80	$176.34