Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $162.18	Professional		$117.49	$117.49	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $169.82 / $363.08	Facility		$162.18	$169.82	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $169.82 / $173.78	Professional		$7.94	$169.82	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $309.03	Facility		$190.55	$190.55	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $269.15	Professional		$190.55	$199.53	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $269.15	Facility		$190.55	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $204.17	Professional		$169.82	$199.53	$204.17