Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $69.00 / $144.99	Facility		$69.00	$69.00	$144.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $70.38 / $82.80	Professional		$46.70	$70.38	$82.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $115.99 / $115.99	Professional		$115.99	$115.99	$115.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $129.77 / $144.99	Facility		$114.54	$129.77	$144.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $87.89 / $121.28	Professional		$70.70	$87.89	$121.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.24 / $159.49 / $217.49	Facility		$123.24	$159.49	$217.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $159.49 / $195.74	Professional		$123.24	$159.49	$195.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $144.99	Facility		$126.00	$128.85	$144.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $119.86 / $148.74	Professional		$109.52	$119.86	$148.74
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $72.34 / $108.98	Professional		$48.22	$72.34	$108.98