Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $138.04 / $416.87	Facility		$72.44	$138.04	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $204.17	Professional		$61.66	$75.86	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $95.50	Facility		$75.86	$91.20	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $45.71	Professional		$43.65	$43.65	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $128.82 / $173.78	Facility		$91.20	$128.82	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $147.91	Professional		$91.20	$120.23	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $199.53 / $199.53	Facility		$60.26	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $446.68 / $446.68	Professional		$42.66	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $125.89	Professional		$39.81	$75.86	$125.89