Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $120.79 / $169.08	Professional		$111.22	$120.79	$169.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $115.38 / $168.32	Professional		$109.89	$115.38	$168.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $121.10 / $181.33	Professional		$101.09	$121.10	$181.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.15 / $134.65 / $157.09	Facility		$100.15	$134.65	$157.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.21 / $123.43 / $162.69	Professional		$112.21	$123.43	$162.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $210.00 / $420.00	Facility		$139.44	$210.00	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.89 / $150.10 / $242.70	Professional		$114.89	$150.10	$242.70
United Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $124.48 / $182.58	Professional		$106.04	$124.48	$182.58