Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.03 / $73.03 / $147.56	Facility		$73.03	$73.03	$147.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $75.47 / $79.26	Professional		$70.23	$75.47	$79.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $103.29 / $103.29	Professional		$103.29	$103.29	$103.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.57 / $132.07 / $147.56	Facility		$116.57	$132.07	$147.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $62.10	Professional		$40.00	$45.00	$62.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.26 / $162.32 / $221.34	Facility		$111.26	$162.32	$221.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.43 / $162.32 / $199.21	Professional		$125.43	$162.32	$199.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $147.56	Facility		$83.71	$83.71	$147.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $83.71 / $151.37	Professional		$61.11	$83.71	$151.37
United Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $76.31 / $104.55	Facility		$46.54	$76.31	$104.55
United Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $71.86 / $108.70	Professional		$43.95	$71.86	$108.70