Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $75.81 / $148.41	Facility		$55.46	$75.81	$148.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $64.58 / $86.66	Professional		$55.46	$64.58	$86.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $63.18 / $73.78	Facility		$34.65	$63.18	$73.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $34.65 / $86.66	Professional		$31.19	$34.65	$86.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $98.28 / $115.83	Facility		$70.20	$98.28	$115.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $87.75 / $115.83	Professional		$70.20	$87.75	$115.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $53.57 / $92.63	Facility		$45.63	$53.57	$92.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $81.34 / $338.36	Professional		$35.71	$81.34	$338.36
United Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $52.00 / $86.66	Professional		$36.40	$52.00	$86.66