Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.78 / $72.78 / $147.06	Facility		$72.78	$72.78	$147.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $72.78 / $78.98	Professional		$69.98	$72.78	$78.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $110.30 / $147.06	Professional		$110.30	$110.30	$147.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $131.62 / $147.06	Facility		$116.18	$131.62	$147.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $76.87 / $106.08	Professional		$71.75	$76.87	$106.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.30 / $161.77 / $205.88	Facility		$110.30	$161.77	$205.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $161.77 / $198.53	Professional		$125.00	$161.77	$198.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $147.06	Facility		$92.98	$92.98	$147.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $150.86	Professional		$67.88	$67.88	$150.86
United Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $70.09 / $98.27	Professional		$42.11	$70.09	$98.27