Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $80.45 / $436.40	Facility		$76.34	$80.45	$436.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $80.45 / $95.17	Professional		$75.23	$80.45	$95.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $122.64	Professional		$122.64	$122.64	$122.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.74 / $88.30 / $103.11	Facility		$54.74	$88.30	$103.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $36.26 / $39.24	Professional		$27.19	$36.26	$39.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $117.73 / $156.97	Facility		$98.11	$117.73	$156.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $127.54 / $196.22	Professional		$104.98	$127.54	$196.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $74.87 / $127.32	Facility		$63.77	$74.87	$127.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $110.35 / $472.89	Professional		$44.91	$110.35	$472.89
United Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $54.38 / $117.73	Professional		$41.21	$54.38	$117.73