Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $87.63 / $177.04	Facility		$87.63	$87.63	$177.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $87.63 / $95.09	Professional		$80.43	$87.63	$95.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.93 / $123.93 / $123.93	Professional		$123.93	$123.93	$123.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $158.44 / $177.04	Facility		$139.86	$158.44	$177.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $91.38 / $125.47	Professional		$86.37	$91.38	$125.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $188.63 / $247.86	Facility		$128.27	$188.63	$247.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $194.74 / $239.00	Professional		$150.47	$194.74	$239.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $177.04	Facility		$97.79	$97.79	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.79 / $168.77	Professional		$71.39	$97.79	$168.77
United Facility/Professional Facility Modifier Low / Median / High Price $50.98 / $85.37 / $119.40	Facility		$50.98	$85.37	$119.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $84.39 / $117.08	Professional		$50.19	$84.39	$117.08