Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.72 / $82.68 / $99.21	Facility		$72.72	$82.68	$99.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $92.97 / $123.75	Professional		$74.16	$92.97	$123.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $76.92 / $100.90	Professional		$67.91	$76.92	$100.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $117.00 / $117.00	Facility		$117.00	$117.00	$117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $90.00 / $129.19	Professional		$70.06	$90.00	$129.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $100.61 / $130.79	Facility		$75.45	$100.61	$130.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $110.99 / $139.44	Professional		$94.34	$110.99	$139.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $106.86 / $168.40	Professional		$68.00	$106.86	$168.40
United Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $87.00 / $87.00	Facility		$87.00	$87.00	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $109.12 / $161.87	Professional		$88.46	$109.12	$161.87