Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.26 / $95.26 / $192.46	Facility		$95.26	$95.26	$192.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $97.03 / $103.37	Professional		$91.60	$97.03	$103.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.35 / $144.35 / $144.35	Professional		$144.35	$144.35	$144.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.04 / $172.25 / $192.46	Facility		$152.04	$172.25	$192.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $106.22 / $146.58	Professional		$93.88	$106.22	$146.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.10 / $211.71 / $288.69	Facility		$145.10	$211.71	$288.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $211.71 / $259.82	Professional		$163.59	$211.71	$259.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $192.46	Facility		$107.42	$107.42	$192.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $197.43	Professional		$78.42	$107.42	$197.43
United Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $92.91 / $136.02	Facility		$63.45	$92.91	$136.02
United Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $93.02 / $130.16	Professional		$57.18	$93.02	$130.16