Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $134.40 / $216.02	Facility		$10.85	$134.40	$216.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $85.90 / $91.82	Professional		$79.54	$85.90	$91.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $139.19 / $139.19	Professional		$119.45	$139.19	$139.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.81 / $152.72 / $170.64	Facility		$134.81	$152.72	$170.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $85.77 / $118.36	Professional		$83.24	$85.77	$118.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $187.70 / $255.96	Facility		$129.19	$187.70	$255.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $187.70 / $230.36	Professional		$145.04	$187.70	$230.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $170.64	Facility		$115.38	$115.38	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $159.10	Professional		$84.23	$115.38	$159.10
United Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $81.33 / $114.02	Professional		$47.57	$81.33	$114.02