Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.67 / $111.67 / $111.67	Facility		$111.67	$111.67	$111.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $103.08 / $127.13	Professional		$79.00	$103.08	$127.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.95 / $167.95 / $167.95	Professional		$167.95	$167.95	$167.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $145.46 / $162.52	Facility		$128.38	$145.46	$162.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $183.10 / $232.35	Professional		$130.27	$183.10	$232.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $26.10 / $219.36	Facility		$15.93	$26.10	$219.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $26.10 / $202.49	Professional		$13.54	$26.10	$202.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $112.20	Facility		$110.00	$110.00	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $110.00 / $205.61	Professional		$15.00	$110.00	$205.61
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $76.48 / $175.56	Professional		$49.08	$76.48	$175.56