Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.59 / $311.47 / $943.43	Facility		$137.59	$311.47	$943.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $164.00	Professional		$136.66	$136.66	$164.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Professional		$136.22	$136.22	$136.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $273.33 / $330.74	Facility		$136.66	$273.33	$330.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $188.60	Professional		$136.66	$136.66	$188.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $136.66 / $205.01	Facility		$136.66	$136.66	$205.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $170.84	Professional		$136.66	$136.66	$170.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Facility		$136.66	$136.66	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $154.72	Professional		$136.66	$136.66	$154.72
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $144.87 / $156.69	Professional		$136.66	$144.87	$156.69