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 $98.78 / $103.92 / $124.19	Professional		$98.78	$103.92	$124.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $202.19 / $202.19	Professional		$151.63	$202.19	$202.19
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 $96.04 / $120.05 / $165.66	Professional		$96.04	$120.05	$165.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.84 / $222.41 / $303.29	Facility		$172.84	$222.41	$303.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.19 / $242.63 / $284.68	Professional		$202.19	$242.63	$284.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $202.19	Facility		$106.02	$127.07	$202.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $207.42	Professional		$92.76	$92.76	$207.42
United Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $97.45 / $142.43	Professional		$59.97	$97.45	$142.43