Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $199.53	Facility		$85.11	$85.11	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $194.98	Professional		$83.18	$83.18	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $102.33	Professional		$74.13	$83.18	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $194.98	Facility		$100.00	$128.82	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $93.33 / $169.82	Facility		$85.11	$93.33	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $257.04	Professional		$95.50	$95.50	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $131.83	Professional		$83.18	$93.33	$131.83