Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.17 / $127.17 / $127.17	Facility		$127.17	$127.17	$127.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $127.17 / $216.24	Professional		$102.65	$127.17	$216.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $194.30 / $233.15	Professional		$146.43	$194.30	$233.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.86 / $402.86 / $402.86	Facility		$402.86	$402.86	$402.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $228.19 / $356.33	Professional		$134.22	$228.19	$356.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.79 / $155.44 / $181.34	Facility		$112.79	$155.44	$181.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.53 / $148.63 / $194.30	Professional		$129.53	$148.63	$194.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $167.05 / $276.00	Professional		$133.37	$167.05	$276.00
United Facility/Professional Facility Modifier Low / Median / High Price $210.57 / $210.57 / $210.57	Facility		$210.57	$210.57	$210.57
United Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $149.69 / $212.10	Professional		$123.71	$149.69	$212.10