Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $67.61	Professional		$30.20	$37.15	$67.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.88 / $38.02 / $60.26	Professional	52	$33.88	$38.02	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $52.48	Professional		$32.36	$42.66	$52.48
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $6.61 / $6.61 / $7.76	Professional	52	$6.61	$6.61	$7.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $69.18	Professional		$28.18	$45.71	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $36.31 / $41.69	Facility		$30.20	$36.31	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.67 / $43.65	Professional		$33.88	$34.67	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $56.23	Facility		$52.48	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $75.86	Professional		$29.51	$42.66	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $56.23	Professional		$27.54	$36.31	$56.23