Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.55 / $141.43 / $336.23	Facility		$94.55	$141.43	$336.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $102.37 / $152.63	Professional		$90.92	$102.37	$152.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $143.28 / $179.10	Professional		$79.89	$143.28	$179.10
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 $89.87 / $112.34 / $155.02	Professional		$89.87	$112.34	$155.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $210.14 / $286.56	Facility		$163.24	$210.14	$286.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.04 / $229.25 / $268.87	Professional		$191.04	$229.25	$268.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $191.04	Facility		$118.47	$120.81	$191.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $120.81 / $195.97	Professional		$88.19	$120.81	$195.97
United Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $91.55 / $135.03	Professional		$56.76	$91.55	$135.03