Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $131.83 / $213.80	Facility		$102.33	$131.83	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $281.84	Professional		$104.71	$151.36	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $194.98	Professional		$131.83	$158.49	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $245.47	Professional		$100.00	$162.18	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $154.88 / $194.98	Facility		$128.82	$154.88	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $234.42	Professional		$147.91	$177.83	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $288.40	Professional		$134.90	$186.21	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $144.54 / $169.82	Facility		$100.00	$144.54	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $251.19	Professional		$131.83	$173.78	$251.19