Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.68 / $106.17 / $142.85	Facility		$93.68	$106.17	$142.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $143.21 / $244.98	Professional		$106.17	$143.21	$244.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $169.14 / $247.84	Professional		$128.94	$169.14	$247.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.22 / $168.22 / $324.66	Facility		$168.22	$168.22	$324.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $151.30 / $227.09	Professional		$113.31	$151.30	$227.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.18 / $161.96 / $192.45	Facility		$127.18	$161.96	$192.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $146.74 / $191.40	Professional		$127.18	$146.74	$191.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $167.63 / $239.69	Professional		$136.91	$167.63	$239.69
United Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $164.17 / $226.14	Professional		$139.52	$164.17	$226.14