Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $295.12 / $741.31	Facility		$93.33	$295.12	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $102.33	Professional		$93.33	$93.33	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $194.98	Professional		$102.33	$102.33	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $109.65 / $177.83	Facility		$107.15	$109.65	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $151.36	Facility		$95.50	$95.50	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $131.83	Professional		$95.50	$100.00	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $138.04	Facility		$93.33	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $398.11 / $398.11	Professional		$93.33	$398.11	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33