Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.11 / $76.11 / $88.85	Facility		$76.11	$76.11	$88.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $51.81 / $76.11	Professional		$28.80	$51.81	$76.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $88.85 / $88.85	Professional		$62.20	$88.85	$88.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.19 / $79.52 / $88.85	Facility		$70.19	$79.52	$88.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $57.66 / $79.56	Professional		$41.55	$57.66	$79.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $97.74 / $133.28	Facility		$75.52	$97.74	$133.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $106.62 / $124.39	Professional		$88.85	$106.62	$124.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $59.47 / $91.14	Professional		$43.41	$59.47	$91.14
United Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $44.32 / $66.76	Professional		$26.59	$44.32	$66.76