Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $84.75 / $171.23	Facility		$84.75	$84.75	$171.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $88.01 / $114.41	Professional		$77.86	$88.01	$114.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $128.41 / $171.23	Professional		$76.37	$128.41	$171.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.27 / $153.25 / $171.23	Facility		$135.27	$153.25	$171.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $88.64 / $122.32	Professional		$83.53	$88.64	$122.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.46 / $188.35 / $239.72	Facility		$131.46	$188.35	$239.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $196.91 / $239.72	Professional		$146.07	$196.91	$239.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $171.23	Facility		$95.80	$96.73	$171.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $96.73 / $164.49	Professional		$70.61	$96.73	$164.49
United Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $81.62 / $114.41	Professional		$48.58	$81.62	$114.41