Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Facility		$105.33	$105.33	$105.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $112.62 / $183.88	Professional		$87.94	$112.62	$183.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $165.33 / $183.30	Professional		$126.75	$165.33	$183.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $154.69 / $208.41	Professional		$123.76	$154.69	$208.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $132.26 / $165.33	Facility		$107.47	$132.26	$165.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $132.26 / $165.33	Professional		$110.22	$132.26	$165.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $141.02 / $220.43	Professional		$113.34	$141.02	$220.43
United Facility/Professional Facility Modifier Low / Median / High Price $175.70 / $175.70 / $175.70	Facility		$175.70	$175.70	$175.70
United Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $127.80 / $189.50	Professional		$103.11	$127.80	$189.50