Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $128.82 / $181.97	Facility		$125.89	$128.82	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $162.18	Professional		$117.49	$125.89	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $158.49	Professional		$57.54	$107.15	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $199.53	Facility		$138.04	$144.54	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $131.83	Professional		$112.20	$131.83	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $87.10	Facility		$54.95	$56.23	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.23 / $70.79	Professional		$54.95	$56.23	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $229.09 / $229.09	Facility		$144.54	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $645.65 / $645.65	Professional		$144.54	$645.65	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $154.88	Professional		$131.83	$147.91	$154.88