Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $74.23 / $205.24	Facility		$51.31	$74.23	$205.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $51.31 / $76.95	Professional		$35.92	$51.31	$76.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $76.97 / $76.97	Professional		$76.97	$76.97	$76.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $20.52 / $20.52	Facility		$20.52	$20.52	$20.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $20.52 / $51.31	Professional		$17.44	$20.52	$51.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $71.83 / $97.49	Facility		$51.31	$71.83	$97.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $66.70 / $86.20	Professional		$51.31	$66.70	$86.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $39.15 / $67.70	Facility		$33.35	$39.15	$67.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $51.31 / $247.31	Professional		$25.78	$51.31	$247.31
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $51.31 / $51.31	Professional		$30.79	$51.31	$51.31