Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $77.50 / $156.57	Facility		$77.50	$77.50	$156.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $80.48 / $85.20	Professional		$74.52	$80.48	$85.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $117.43 / $117.43	Professional		$117.43	$117.43	$117.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.69 / $140.13 / $156.57	Facility		$123.69	$140.13	$156.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $82.10 / $113.29	Professional		$76.39	$82.10	$113.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.90 / $172.23 / $234.86	Facility		$119.90	$172.23	$234.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.08 / $172.23 / $211.37	Professional		$133.08	$172.23	$211.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $156.57	Facility		$85.16	$85.16	$156.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $85.16 / $149.91	Professional		$62.17	$85.16	$149.91
United Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $74.63 / $104.63	Professional		$45.32	$74.63	$104.63