Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.15 / $119.15 / $119.15	Facility		$119.15	$119.15	$119.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $94.66 / $135.63	Professional		$77.31	$94.66	$135.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.82 / $113.82 / $164.42	Professional		$113.82	$113.82	$164.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.46 / $148.94 / $166.41	Facility		$131.46	$148.94	$166.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $194.10 / $256.20	Professional		$139.97	$194.10	$256.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $24.34 / $226.13	Facility		$14.65	$24.34	$226.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $23.92 / $237.43	Professional		$15.06	$23.92	$237.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $131.69	Facility		$129.12	$129.12	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $201.27	Professional		$109.75	$129.12	$201.27
United Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $81.12 / $171.85	Professional		$53.56	$81.12	$171.85