Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.16 / $312.48 / $312.48	Facility		$113.16	$312.48	$312.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $113.16 / $122.80	Professional		$108.81	$113.16	$122.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $145.75 / $145.75	Professional		$145.75	$145.75	$145.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.62 / $204.62 / $228.63	Facility		$180.62	$204.62	$228.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $122.25 / $168.70	Professional		$114.54	$122.25	$168.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.47 / $251.49 / $336.78	Facility		$171.47	$251.49	$336.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $251.49 / $308.64	Professional		$194.34	$251.49	$308.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $228.63	Facility		$125.61	$125.61	$228.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $125.61 / $234.52	Professional		$91.70	$125.61	$234.52
United Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $108.97 / $154.54	Professional		$66.86	$108.97	$154.54