Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.02 / $169.02 / $169.02	Facility		$169.02	$169.02	$169.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $169.02 / $192.42	Professional		$110.87	$169.02	$192.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.77 / $242.77 / $242.77	Professional		$242.77	$242.77	$242.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.77 / $224.05 / $250.34	Facility		$197.77	$224.05	$250.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.50 / $256.97 / $326.08	Professional		$196.50	$256.97	$326.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $212.79 / $377.61	Facility		$25.03	$212.79	$377.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $197.15 / $353.42	Professional		$22.69	$197.15	$353.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $215.49	Facility		$160.96	$160.96	$215.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $337.78	Professional		$136.82	$160.96	$337.78
United Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $135.32 / $247.42	Professional		$83.97	$135.32	$247.42