Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $295.12 / $549.54	Facility		$125.89	$295.12	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $162.18	Professional		$104.71	$104.71	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $229.09	Facility		$123.03	$154.88	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $165.96	Professional		$104.71	$104.71	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $218.78	Facility		$109.65	$162.18	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $177.83	Facility		$104.71	$104.71	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $134.90	Professional		$104.71	$104.71	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $302.00	Facility		$109.65	$109.65	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $151.36	Professional		$104.71	$109.65	$151.36