Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $131.83	Facility		$125.89	$125.89	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $218.78	Professional		$125.89	$125.89	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $144.54	Facility		$0.02	$0.02	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $223.87	Professional		$134.90	$134.90	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $81.28 / $144.54	Facility		$72.44	$81.28	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $173.78	Professional		$147.91	$147.91	$173.78