Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Facility		$158.02	$158.02	$158.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $145.86 / $184.14	Professional		$82.65	$145.86	$184.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $40.00 / $40.00	Professional		$13.50	$40.00	$40.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.10 / $280.10 / $540.59	Facility		$280.10	$280.10	$540.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $280.10 / $378.13	Professional		$164.86	$280.10	$378.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $28.03 / $65.27	Facility		$21.54	$28.03	$65.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $26.93 / $58.02	Professional		$21.54	$26.93	$58.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.10 / $147.10 / $147.10	Facility		$147.10	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $147.10	Professional		$107.38	$125.04	$147.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $14.40 / $31.79	Professional		$7.86	$14.40	$31.79