Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $138.04	Facility		$97.72	$97.72	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $104.71	Professional		$97.72	$97.72	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $117.49	Professional		$83.18	$97.72	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $47.86 / $186.21	Facility		$45.71	$47.86	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $89.13	Professional		$87.10	$89.13	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $158.49	Facility		$97.72	$97.72	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $128.82	Professional		$97.72	$97.72	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $141.25	Facility		$95.50	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $467.74 / $467.74	Professional		$95.50	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $114.82	Professional		$97.72	$102.33	$114.82