Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $162.18	Facility		$66.07	$93.33	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $128.82	Professional		$63.10	$66.07	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $63.10	Professional		$41.69	$52.48	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $75.86 / $95.50	Facility		$72.44	$75.86	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $66.07	Professional		$56.23	$66.07	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $104.71	Facility		$64.57	$64.57	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $85.11	Professional		$47.86	$64.57	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $120.23	Facility		$70.79	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $338.84 / $338.84	Professional		$70.79	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $79.43	Professional		$64.57	$75.86	$79.43