Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $181.97 / $426.58	Facility		$81.28	$181.97	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $102.33	Professional		$79.43	$79.43	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $177.83	Facility		$95.50	$120.23	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $120.23	Professional		$79.43	$79.43	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $117.49	Facility		$77.62	$77.62	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $120.23	Professional		$77.62	$77.62	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Facility		$79.43	$79.43	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $95.50	Professional		$79.43	$79.43	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $154.88	Facility		$77.62	$77.62	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $89.13	Professional		$79.43	$85.11	$89.13