Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $125.89	Professional		$75.86	$87.10	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $131.83	Professional		$128.82	$128.82	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $218.78	Facility		$93.33	$177.83	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $173.78	Professional		$83.18	$93.33	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $263.03	Facility		$173.78	$218.78	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $177.83	Facility		$104.71	$104.71	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $165.96	Professional		$75.86	$75.86	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $123.03 / $138.04	Facility		$58.88	$123.03	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $117.49	Professional		$51.29	$83.18	$117.49