Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.80 / $145.80 / $145.80	Facility		$145.80	$145.80	$145.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $134.58 / $154.19	Professional		$93.10	$134.58	$154.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $137.69 / $137.69	Professional		$137.69	$137.69	$137.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.15 / $188.24 / $210.32	Facility		$166.15	$188.24	$210.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.63 / $215.79 / $284.83	Professional		$172.63	$215.79	$284.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $29.29 / $267.17	Facility		$18.57	$29.29	$267.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $29.51 / $280.52	Professional		$18.57	$29.51	$280.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $126.46	Facility		$123.98	$123.98	$126.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $123.98 / $242.32	Professional		$19.57	$123.98	$242.32
United Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $97.66 / $206.90	Professional		$64.67	$97.66	$206.90