Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $77.73 / $157.05	Facility		$77.73	$77.73	$157.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $78.58 / $84.85	Professional		$74.73	$78.58	$84.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $117.79 / $157.05	Professional		$88.34	$117.79	$157.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.07 / $140.56 / $157.05	Facility		$124.07	$140.56	$157.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $85.06 / $117.38	Professional		$76.61	$85.06	$117.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.50 / $172.76 / $220.83	Facility		$132.50	$172.76	$220.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $188.46 / $219.87	Professional		$147.22	$188.46	$219.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $157.05	Facility		$102.60	$102.60	$157.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $102.60 / $161.10	Professional		$74.90	$102.60	$161.10
United Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $78.26 / $106.95	Professional		$46.99	$78.26	$106.95