Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Facility		$139.72	$139.72	$139.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $119.48 / $158.12	Professional		$94.77	$119.48	$158.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $217.57 / $290.08	Professional		$141.97	$217.57	$290.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.19 / $158.84 / $177.47	Facility		$140.19	$158.84	$177.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.21 / $276.92 / $354.94	Professional		$152.21	$276.92	$354.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $168.53 / $376.16	Facility		$18.64	$168.53	$376.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $150.85 / $380.88	Professional		$18.64	$150.85	$380.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $169.65	Facility		$126.72	$126.72	$169.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $130.52 / $310.95	Professional		$107.71	$130.52	$310.95
United Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $120.45 / $265.50	Professional		$74.12	$120.45	$265.50