Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $169.82 / $288.40	Facility		$74.13	$169.82	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $151.36	Professional		$70.79	$74.13	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $77.62	Professional		$63.10	$74.13	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $109.65 / $169.82	Facility		$97.72	$109.65	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $147.91	Professional		$83.18	$83.18	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $131.83	Facility		$74.13	$74.13	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $81.28	Professional		$74.13	$74.13	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $93.33 / $251.19	Professional		$48.98	$93.33	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $102.33	Professional		$85.11	$95.50	$102.33