Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.78 / $174.48 / $505.89	Facility		$73.78	$174.48	$505.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $73.93 / $144.00	Professional		$73.05	$73.93	$144.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $94.97 / $94.97	Professional		$94.97	$94.97	$94.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $146.40 / $177.14	Facility		$73.20	$146.40	$177.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $101.01	Professional		$73.20	$73.20	$101.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $73.20 / $109.80	Facility		$73.05	$73.20	$109.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $91.50	Professional		$73.20	$73.20	$91.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $73.20 / $85.00	Facility		$73.20	$73.20	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $92.05	Professional		$73.20	$73.20	$92.05
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $77.59 / $87.11	Professional		$73.20	$77.59	$87.11