Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.78 / $230.42 / $321.94	Facility		$80.78	$230.42	$321.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $70.86 / $84.41	Professional		$56.84	$70.86	$84.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $92.39 / $92.39	Professional		$92.39	$92.39	$92.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.92 / $82.85 / $196.00	Facility		$56.92	$82.85	$196.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $74.63 / $107.35	Professional		$48.38	$74.63	$107.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $115.28 / $134.50	Facility		$96.07	$115.28	$134.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $108.56 / $129.69	Professional		$96.07	$108.56	$129.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $248.64	Facility		$65.00	$80.00	$248.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $92.15 / $147.86	Professional		$66.28	$92.15	$147.86
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $80.69 / $125.25	Professional		$64.23	$80.69	$125.25