Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $302.00	Professional		$63.10	$93.33	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $97.72	Professional		$45.71	$57.54	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $72.44	Professional		$41.69	$54.95	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $93.33 / $107.15	Facility		$60.26	$93.33	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $134.90	Professional		$89.13	$112.20	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $87.10 / $177.83	Facility		$33.11	$87.10	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $81.28 / $158.49	Professional		$38.02	$81.28	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $154.88	Professional		$52.48	$89.13	$154.88