Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $165.96	Facility		$120.23	$154.88	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $363.08	Professional		$100.00	$134.90	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $165.96	Professional		$112.20	$125.89	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $234.42	Professional		$125.89	$158.49	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $123.03 / $151.36	Facility		$114.82	$123.03	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $162.18 / $245.47	Facility		$123.03	$162.18	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $281.84	Professional		$120.23	$158.49	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $194.98	Professional		$117.49	$144.54	$194.98