Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $95.29 / $113.40	Facility		$75.75	$95.29	$113.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $102.01 / $136.02	Professional		$81.01	$102.01	$136.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $107.99 / $235.62	Professional		$82.57	$107.99	$235.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $60.80 / $126.55	Professional		$35.15	$60.80	$126.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $105.88 / $137.63	Facility		$79.41	$105.88	$137.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $135.86 / $162.51	Professional		$115.44	$135.86	$162.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $123.32 / $194.81	Professional		$81.00	$123.32	$194.81
United Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $116.88 / $188.80	Professional		$93.94	$116.88	$188.80