Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $46.77	Professional		$22.91	$33.88	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $54.95	Professional		$28.18	$50.12	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $67.61	Facility		$34.67	$54.95	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $60.26	Professional		$30.90	$34.67	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $67.61 / $81.28	Facility		$53.70	$67.61	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $75.86	Professional		$58.88	$70.79	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $36.31 / $36.31	Facility		$29.51	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $45.71	Professional		$26.30	$26.30	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $43.65	Facility		$28.18	$41.69	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $40.74	Professional		$16.22	$26.92	$40.74