Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $56.83 / $66.33	Facility		$56.83	$56.83	$66.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $39.79 / $56.83	Professional		$18.16	$39.79	$56.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $53.06 / $66.33	Professional		$53.06	$53.06	$66.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $42.33 / $81.70	Facility		$42.33	$42.33	$81.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.24 / $42.33 / $66.33	Professional		$33.24	$42.33	$66.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $72.95 / $99.50	Facility		$49.75	$72.95	$99.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $72.95 / $89.55	Professional		$56.38	$72.95	$89.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $49.23	Facility		$39.86	$39.86	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.86 / $68.05	Professional		$33.88	$39.86	$68.05
United Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $31.62 / $44.55	Professional		$18.76	$31.62	$44.55