Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $73.59 / $154.65	Facility		$73.59	$73.59	$154.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $75.52 / $76.94	Professional		$73.59	$75.52	$76.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $115.99 / $115.99	Professional		$108.26	$115.99	$115.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.17 / $138.41 / $154.65	Facility		$122.17	$138.41	$154.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $92.90 / $128.19	Professional		$75.43	$92.90	$128.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.60 / $170.12 / $231.98	Facility		$116.60	$170.12	$231.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $170.12 / $208.78	Professional		$131.44	$170.12	$208.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $154.65	Facility		$100.03	$100.03	$154.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $100.03 / $158.63	Professional		$73.02	$100.03	$158.63
United Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $77.15 / $106.19	Professional		$45.94	$77.15	$106.19