Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.29 / $57.47 / $73.80	Facility		$48.29	$57.47	$73.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $75.73 / $155.00	Professional		$52.72	$75.73	$155.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $95.58 / $95.58	Professional		$95.58	$95.58	$95.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $164.05	Facility		$85.00	$85.00	$164.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $79.47 / $114.75	Professional		$67.31	$79.47	$114.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $83.15 / $98.80	Facility		$65.28	$83.15	$98.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $75.47 / $98.45	Professional		$65.28	$75.47	$98.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $81.42 / $81.42	Facility		$81.42	$81.42	$81.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $82.16 / $121.08	Professional		$68.08	$82.16	$121.08
United Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $76.36 / $105.98	Professional		$61.99	$76.36	$105.98