Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $116.96 / $312.25	Facility		$55.46	$116.96	$312.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $63.65 / $92.35	Professional		$55.46	$63.65	$92.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $71.59 / $105.30	Professional		$48.44	$71.59	$105.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $63.18 / $73.78	Facility		$43.70	$63.18	$73.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $34.65 / $50.21	Professional		$31.19	$34.65	$50.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $98.28 / $115.83	Facility		$77.22	$98.28	$115.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $91.26 / $117.94	Professional		$70.20	$91.26	$117.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $53.57 / $150.66	Facility		$45.63	$53.57	$150.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $89.39 / $338.36	Professional		$32.45	$89.39	$338.36
United Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $58.84 / $98.07	Professional		$30.40	$58.84	$98.07