Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $112.08 / $112.08	Facility		$112.08	$112.08	$112.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $91.65 / $117.77	Professional		$61.71	$91.65	$117.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $144.97 / $144.97	Professional		$144.97	$144.97	$144.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.59 / $153.61 / $171.63	Facility		$135.59	$153.61	$171.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $131.88 / $174.08	Professional		$96.82	$131.88	$174.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $136.86 / $241.52	Facility		$17.16	$136.86	$241.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $135.16 / $225.45	Professional		$14.59	$135.16	$225.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $144.38	Facility		$115.90	$115.90	$144.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $220.25	Professional		$98.52	$115.90	$220.25
United Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $89.71 / $139.43	Professional		$55.60	$89.71	$139.43