Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $62.37 / $73.38	Facility		$48.78	$62.37	$73.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $64.47 / $84.55	Professional		$51.28	$64.47	$84.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $57.67 / $86.51	Professional		$42.49	$57.67	$86.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $149.32	Facility		$126.00	$126.00	$149.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $63.67 / $90.00	Professional		$38.70	$63.67	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $67.65 / $88.23	Facility		$50.74	$67.65	$88.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $88.16 / $106.00	Professional		$76.66	$88.16	$106.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $260.00 / $260.00	Facility		$65.00	$260.00	$260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $65.00 / $106.21	Professional		$45.00	$65.00	$106.21
United Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $68.25 / $113.04	Professional		$54.43	$68.25	$113.04