Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $52.76 / $84.72	Facility		$52.76	$52.76	$84.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $63.95 / $132.00	Professional		$52.76	$63.95	$132.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $92.67 / $119.15	Professional		$74.83	$92.67	$119.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $264.33	Facility		$126.00	$126.00	$264.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $116.41 / $169.74	Professional		$67.93	$116.41	$169.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.54 / $82.74 / $100.66	Facility		$64.54	$82.74	$100.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.19 / $76.81 / $99.29	Professional		$66.19	$76.81	$99.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $82.84 / $82.84	Facility		$82.84	$82.84	$82.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $82.11 / $141.88	Professional		$68.06	$82.11	$141.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $77.36 / $114.73	Professional		$63.20	$77.36	$114.73