Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $186.21 / $251.19	Facility		$85.11	$186.21	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $213.80	Professional		$58.88	$85.11	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $81.28 / $81.28	Facility		$58.88	$81.28	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $141.25	Professional		$52.48	$74.13	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $114.82 / $131.83	Facility		$93.33	$114.82	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $131.83	Professional		$97.72	$112.20	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $95.50 / $269.15	Facility		$64.57	$95.50	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $151.36	Professional		$64.57	$93.33	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $128.82	Facility		$79.43	$107.15	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $104.71	Professional		$66.07	$77.62	$104.71