Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $83.18 / $141.25	Facility		$67.61	$83.18	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $251.19	Professional		$75.86	$109.65	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $147.91	Professional		$93.33	$112.20	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $208.93	Facility		$107.15	$107.15	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $169.82	Professional		$87.10	$107.15	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $138.04 / $177.83	Facility		$107.15	$138.04	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $173.78	Professional		$107.15	$134.90	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $181.97	Professional		$91.20	$117.49	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $151.36	Professional		$89.13	$107.15	$151.36