Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.90 / $129.90 / $272.94	Facility		$129.90	$129.90	$272.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.90 / $133.27 / $145.47	Professional		$129.90	$133.27	$145.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $204.71 / $204.71	Professional		$204.71	$204.71	$204.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.62 / $244.28 / $272.94	Facility		$215.62	$244.28	$272.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $180.77 / $244.03	Professional		$133.15	$180.77	$244.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.23 / $300.23 / $409.41	Facility		$205.23	$300.23	$409.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $300.23 / $368.47	Professional		$232.00	$300.23	$368.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $272.94	Facility		$108.00	$170.64	$272.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $279.99	Professional		$124.57	$170.64	$279.99
United Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $136.16 / $215.96	Professional		$80.08	$136.16	$215.96