Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $151.36	Facility		$104.71	$141.25	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $363.08	Professional		$93.33	$144.54	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $151.36	Professional		$104.71	$112.20	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $229.09	Professional		$120.23	$154.88	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $177.83	Facility		$114.82	$144.54	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $177.83	Professional		$114.82	$134.90	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $147.91 / $213.80	Facility		$112.20	$147.91	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $245.47	Professional		$109.65	$144.54	$245.47
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 $104.71 / $131.83 / $177.83	Professional		$104.71	$131.83	$177.83