Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.55 / $94.55 / $191.04	Facility		$94.55	$94.55	$191.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $98.19 / $127.64	Professional		$90.92	$98.19	$127.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $143.28 / $143.28	Professional		$143.28	$143.28	$143.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.91 / $170.98 / $191.04	Facility		$150.91	$170.98	$191.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $103.75 / $143.16	Professional		$93.20	$103.75	$143.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.04 / $210.14 / $286.56	Facility		$144.04	$210.14	$286.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $210.14 / $257.89	Professional		$162.38	$210.14	$257.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $191.04	Facility		$106.63	$106.63	$191.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $195.97	Professional		$77.84	$106.63	$195.97
United Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $91.33 / $128.28	Professional		$56.76	$91.33	$128.28