Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.55 / $76.81 / $101.46	Facility		$64.55	$76.81	$101.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $98.30 / $186.00	Professional		$73.16	$98.30	$186.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $135.79 / $173.81	Professional		$108.63	$135.79	$173.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.51 / $105.51 / $224.00	Facility		$105.51	$105.51	$224.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $98.65 / $142.43	Professional		$74.79	$98.65	$142.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.63 / $139.13 / $162.94	Facility		$108.63	$139.13	$162.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $126.04 / $162.94	Professional		$108.63	$126.04	$162.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $135.36 / $135.36	Facility		$135.36	$135.36	$135.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $118.38 / $178.75	Professional		$83.26	$118.38	$178.75
United Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $102.72 / $140.60	Professional		$85.42	$102.72	$140.60