Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $89.13 / $354.81	Facility		$46.77	$89.13	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $56.23	Professional		$37.15	$42.66	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $70.79	Professional		$32.36	$32.36	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $141.25	Facility		$46.77	$46.77	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $46.77	Professional		$22.39	$23.44	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $46.77 / $61.66	Facility		$38.02	$46.77	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $56.23	Professional		$30.20	$46.77	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $63.10 / $120.23	Facility		$38.02	$63.10	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $102.33	Professional		$23.99	$33.11	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $46.77 / $46.77	Facility		$21.38	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $51.29	Professional		$19.95	$30.20	$51.29