Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $257.04	Professional		$54.95	$81.28	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $114.82	Professional		$45.71	$50.12	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $97.72	Professional		$40.74	$40.74	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $95.50 / $107.15	Facility		$61.66	$95.50	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $114.82	Professional		$75.86	$95.50	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $186.21	Professional		$50.12	$93.33	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $154.88	Professional		$53.70	$95.50	$154.88