Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $48.31 / $126.08	Professional		$38.42	$48.31	$126.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $39.20 / $84.00	Professional		$27.84	$39.20	$84.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $33.49 / $55.84	Professional		$33.49	$33.49	$55.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $67.20 / $78.40	Facility		$56.00	$67.20	$78.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $61.60 / $81.20	Professional		$56.00	$61.60	$81.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.94 / $62.94 / $62.94	Facility		$62.94	$62.94	$62.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $59.41 / $141.32	Professional		$39.47	$59.41	$141.32
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $66.04 / $115.18	Professional		$39.61	$66.04	$115.18