Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $112.20 / $186.21	Facility		$72.44	$112.20	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $190.55	Professional		$83.18	$123.03	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $141.25	Professional		$100.00	$120.23	$141.25
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $97.72 / $117.49 / $123.03	Professional	25	$97.72	$117.49	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $120.23 / $234.42	Facility		$114.82	$120.23	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $239.88	Professional		$93.33	$120.23	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $134.90 / $169.82	Facility		$120.23	$134.90	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $204.17	Professional		$123.03	$138.04	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $194.98	Professional		$95.50	$131.83	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $181.97	Professional		$102.33	$125.89	$181.97