Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.84 / $815.88 / $1,194.55	Facility		$183.84	$815.88	$1,194.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $81.86 / $259.00	Professional		$81.86	$81.86	$259.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.38 / $156.00 / $156.00	Professional		$104.38	$156.00	$156.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $170.54 / $255.81	Facility		$98.06	$170.54	$255.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $105.84 / $150.29	Professional		$87.70	$105.84	$150.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.16 / $135.69 / $167.01	Facility		$93.16	$135.69	$167.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.38 / $120.04 / $156.57	Professional		$104.38	$120.04	$156.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $102.33	Professional		$86.98	$86.98	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $113.41	Professional		$85.27	$85.27	$113.41