Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $85.11 / $141.25	Facility		$69.18	$85.11	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $295.12	Professional		$77.62	$112.20	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $151.36	Professional		$93.33	$112.20	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $223.87	Facility		$104.71	$104.71	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $162.18	Professional		$75.86	$104.71	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $181.97	Facility		$109.65	$141.25	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $177.83	Professional		$109.65	$141.25	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $109.65 / $177.83	Facility		$91.20	$109.65	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $186.21	Professional		$85.11	$120.23	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $147.91	Professional		$85.11	$102.33	$147.91