Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $118.32 / $239.05	Facility		$118.32	$118.32	$239.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $128.25 / $415.34	Professional		$118.32	$128.25	$415.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.34 / $167.34 / $179.29	Professional		$167.34	$167.34	$179.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.85 / $213.95 / $239.05	Facility		$188.85	$213.95	$239.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $139.80 / $192.92	Professional		$69.97	$139.80	$192.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.29 / $262.95 / $358.58	Facility		$204.29	$262.95	$358.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.05 / $286.86 / $336.48	Professional		$239.05	$286.86	$336.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $239.05	Facility		$152.55	$152.55	$239.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $152.55 / $245.22	Professional		$111.36	$152.55	$245.22
United Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $113.94 / $160.32	Professional		$71.02	$113.94	$160.32