Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.59 / $107.59 / $263.58	Facility		$107.59	$107.59	$263.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $107.59 / $129.94	Professional		$73.42	$107.59	$129.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $46.25 / $89.26	Facility		$46.25	$46.25	$89.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $46.25 / $86.63	Professional		$39.31	$46.25	$86.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.51 / $124.21 / $140.94	Facility		$103.51	$124.21	$140.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $114.84 / $140.94	Professional		$104.40	$114.84	$140.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $84.29 / $186.34	Professional		$45.44	$84.29	$186.34
United Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $101.06 / $172.97	Professional		$63.97	$101.06	$172.97