Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $91.27	Facility		$81.48	$81.48	$91.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $91.27 / $111.48	Professional		$77.53	$91.27	$111.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $125.07 / $145.00	Professional		$64.94	$125.07	$145.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $165.00	Facility		$130.00	$130.00	$165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $82.94 / $112.53	Professional		$59.44	$82.94	$112.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $84.88 / $110.34	Facility		$63.66	$84.88	$110.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $105.83 / $133.63	Professional		$89.96	$105.83	$133.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $97.76 / $151.00	Professional		$68.00	$97.76	$151.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $96.37 / $158.91	Professional		$79.56	$96.37	$158.91