Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $162.18	Professional		$74.13	$97.72	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $177.83	Professional		$100.00	$117.49	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $194.98	Professional		$100.00	$120.23	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $117.49 / $128.82	Facility		$114.82	$117.49	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $120.23	Professional		$117.49	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $218.78	Facility		$112.20	$131.83	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $181.97	Professional		$97.72	$120.23	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $181.97	Professional		$104.71	$125.89	$181.97