Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $131.83	Facility		$72.44	$89.13	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $275.42	Professional		$75.86	$123.03	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $104.71	Professional		$81.28	$93.33	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $223.87	Facility		$117.49	$117.49	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $181.97	Professional		$93.33	$117.49	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $120.23 / $154.88	Facility		$93.33	$120.23	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $151.36	Professional		$93.33	$117.49	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $154.88	Facility		$100.00	$117.49	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $181.97	Professional		$95.50	$117.49	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $162.18	Professional		$95.50	$114.82	$162.18