Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $170.57 / $515.59	Facility		$75.09	$170.57	$515.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $82.60	Professional		$74.36	$74.36	$82.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Professional		$73.37	$73.37	$73.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $148.72 / $179.95	Facility		$74.36	$148.72	$179.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $102.61	Professional		$74.36	$74.36	$102.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.45 / $111.54	Facility		$74.36	$74.45	$111.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $92.95	Professional		$74.36	$74.36	$92.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.36 / $85.00	Facility		$74.36	$74.36	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $84.18	Professional		$74.36	$74.36	$84.18
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $78.81 / $86.12	Professional		$74.36	$78.81	$86.12