Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.79 / $94.79 / $199.17	Facility		$94.79	$94.79	$199.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $96.68 / $99.12	Professional		$94.79	$96.68	$99.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $149.38 / $149.38	Professional		$149.38	$149.38	$149.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.34 / $178.26 / $199.17	Facility		$157.34	$178.26	$199.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $121.56 / $164.10	Professional		$99.79	$121.56	$164.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $219.09 / $298.76	Facility		$150.19	$219.09	$298.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.29 / $219.09 / $268.88	Professional		$169.29	$219.09	$268.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $199.17	Facility		$120.62	$120.62	$199.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $204.31	Professional		$88.05	$120.62	$204.31
United Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $99.37 / $157.59	Professional		$59.18	$99.37	$157.59