Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $131.83 / $338.84	Facility		$61.66	$131.83	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $74.13	Professional		$50.12	$54.95	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $93.33	Professional		$26.30	$30.90	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $186.21	Facility		$61.66	$61.66	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $61.66	Professional		$30.90	$30.90	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $61.66 / $81.28	Facility		$50.12	$61.66	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $74.13	Professional		$40.74	$61.66	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $61.66 / $125.89	Facility		$40.74	$61.66	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $141.25	Professional		$31.62	$43.65	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $61.66 / $61.66	Facility		$28.18	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $61.66	Professional		$26.30	$37.15	$61.66