Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.05 / $121.36 / $142.78	Facility		$95.05	$121.36	$142.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $126.73 / $184.81	Professional		$97.85	$126.73	$184.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $112.71 / $175.00	Professional		$84.54	$112.71	$175.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $149.32	Facility		$126.00	$126.00	$149.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $123.11 / $167.76	Professional		$96.05	$123.11	$167.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.07 / $132.09 / $171.72	Facility		$99.07	$132.09	$171.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $165.32 / $206.30	Professional		$140.52	$165.32	$206.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $260.00 / $260.00	Facility		$115.00	$260.00	$260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $132.00 / $205.59	Professional		$74.00	$132.00	$205.59
United Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $135.93 / $209.43	Professional		$106.89	$135.93	$209.43