Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $120.09 / $235.10	Facility		$51.31	$120.09	$235.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $51.31 / $71.83	Professional		$38.47	$51.31	$71.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $153.93 / $278.56	Facility		$20.52	$153.93	$278.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $28.31 / $61.57	Professional		$20.52	$28.31	$61.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $69.27 / $82.10	Facility		$51.31	$69.27	$82.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.44 / $72.73	Professional		$51.31	$56.44	$72.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $97.20 / $200.49	Facility		$33.35	$97.20	$200.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $45.53 / $74.00	Professional		$26.57	$45.53	$74.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $51.31 / $61.57	Professional		$30.79	$51.31	$61.57