Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.13 / $72.09 / $87.15	Facility		$57.13	$72.09	$87.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $79.70 / $115.36	Professional		$62.09	$79.70	$115.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $82.24 / $127.00	Professional		$69.20	$82.24	$127.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $33.47 / $53.55	Professional		$23.70	$33.47	$53.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.68 / $79.56 / $103.44	Facility		$59.68	$79.56	$103.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $98.35 / $122.42	Professional		$89.41	$98.35	$122.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $46.00 / $46.00	Facility		$46.00	$46.00	$46.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $87.94 / $147.46	Professional		$46.00	$87.94	$147.46
United Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $85.92 / $125.44	Professional		$69.45	$85.92	$125.44