Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.07 / $100.07 / $202.19	Facility		$100.07	$100.07	$202.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $103.92 / $119.13	Professional		$96.23	$103.92	$119.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $151.63 / $212.30	Professional		$151.63	$151.63	$212.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.72 / $180.96 / $202.19	Facility		$159.72	$180.96	$202.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $109.27 / $150.79	Professional		$98.64	$109.27	$150.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.51 / $222.41 / $303.29	Facility		$152.51	$222.41	$303.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.86 / $222.41 / $272.95	Professional		$171.86	$222.41	$272.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $202.19	Facility		$112.67	$112.67	$202.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $207.42	Professional		$82.25	$112.67	$207.42
United Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $97.45 / $135.53	Professional		$59.97	$97.45	$135.53