Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $93.15 / $195.73	Facility		$93.15	$93.15	$195.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $95.58 / $111.78	Professional		$93.15	$95.58	$111.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $146.80 / $146.80	Professional		$146.80	$146.80	$146.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $175.18 / $195.73	Facility		$154.63	$175.18	$195.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $120.12 / $162.16	Professional		$98.06	$120.12	$162.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.74 / $215.30 / $293.60	Facility		$150.74	$215.30	$293.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $215.30 / $264.24	Professional		$166.37	$215.30	$264.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $195.73	Facility		$122.31	$122.31	$195.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $200.78	Professional		$89.29	$122.31	$200.78
United Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $97.65 / $147.13	Professional		$65.09	$97.65	$147.13