Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $112.20 / $151.36	Facility		$83.18	$112.20	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $204.17	Professional		$81.28	$102.33	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $125.89	Professional		$87.10	$100.00	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $218.78	Professional		$95.50	$147.91	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $89.13 / $109.65	Facility		$83.18	$89.13	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $125.89 / $165.96	Facility		$97.72	$125.89	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $199.53	Professional		$91.20	$123.03	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $89.13 / $107.15	Facility		$77.62	$89.13	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $158.49	Professional		$89.13	$112.20	$158.49