Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $50.60 / $80.00	Facility		$42.90	$50.60	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $75.00 / $136.13	Professional		$50.60	$75.00	$136.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $90.70 / $108.84	Professional		$72.56	$90.70	$108.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $73.20 / $141.30	Facility		$73.20	$73.20	$141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $67.84 / $98.83	Professional		$58.50	$67.84	$98.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $93.29 / $108.84	Facility		$72.56	$93.29	$108.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $84.44 / $108.84	Professional		$72.56	$84.44	$108.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $89.96 / $89.96	Facility		$89.96	$89.96	$89.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.72 / $8.72 / $8.72	Facility	AS	$8.72	$8.72	$8.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.62 / $123.68	Professional		$56.33	$80.62	$123.68
United Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $71.01 / $101.68	Professional		$59.19	$71.01	$101.68