Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $91.20 / $162.18	Facility		$66.07	$91.20	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $154.88	Professional		$56.23	$66.07	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $61.66	Professional		$51.29	$56.23	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $144.54	Facility		$75.86	$93.33	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $107.15	Professional		$64.57	$64.57	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $117.49	Facility		$64.57	$64.57	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $186.21	Professional		$70.79	$70.79	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $79.43	Professional		$64.57	$72.44	$79.43