Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $67.06 / $135.49	Facility		$67.06	$67.06	$135.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $72.26 / $82.52	Professional		$67.06	$72.26	$82.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $101.62 / $142.26	Professional		$99.33	$101.62	$142.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $121.26 / $135.49	Facility		$107.04	$121.26	$135.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $82.18 / $113.40	Professional		$66.09	$82.18	$113.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $149.04 / $203.24	Facility		$115.17	$149.04	$203.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.17 / $149.04 / $182.91	Professional		$115.17	$149.04	$182.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $135.49	Facility		$81.70	$86.88	$135.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $138.97	Professional		$63.42	$86.88	$138.97
United Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $67.59 / $99.81	Professional		$45.06	$67.59	$99.81