Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $103.90 / $209.91	Facility		$103.90	$103.90	$209.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $107.89 / $113.89	Professional		$99.90	$107.89	$113.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $146.94 / $157.43	Professional		$118.07	$146.94	$157.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $187.87 / $209.91	Facility		$165.83	$187.87	$209.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $122.76 / $169.40	Professional		$61.45	$122.76	$169.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $230.90 / $314.87	Facility		$158.30	$230.90	$314.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.42 / $230.90 / $283.38	Professional		$178.42	$230.90	$283.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $209.91	Facility		$140.54	$140.54	$209.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $215.33	Professional		$102.59	$102.59	$215.33
United Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $101.37 / $140.97	Professional		$62.38	$101.37	$140.97