Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $87.10 / $147.91	Facility		$67.61	$87.10	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $186.21	Professional		$67.61	$104.71	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $151.36	Professional		$93.33	$109.65	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $158.49	Professional		$67.61	$107.15	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $128.82	Facility		$83.18	$102.33	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $165.96	Professional		$104.71	$123.03	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $125.89 / $173.78	Facility		$97.72	$125.89	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $194.98	Professional		$87.10	$125.89	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $114.82	Facility		$64.57	$91.20	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $165.96	Professional		$87.10	$114.82	$165.96