Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $251.19 / $467.74	Facility		$66.07	$251.19	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $104.71	Professional		$52.48	$60.26	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $87.10	Professional		$33.88	$44.67	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $204.17	Facility		$67.61	$67.61	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $67.61	Professional		$31.62	$33.11	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $67.61 / $87.10	Facility		$45.71	$67.61	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $81.28	Professional		$43.65	$67.61	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $67.61 / $151.36	Facility		$48.98	$67.61	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $151.36 / $173.78	Professional		$48.98	$151.36	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $67.61 / $67.61	Facility		$30.20	$67.61	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $74.13	Professional		$28.18	$43.65	$74.13