Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $265.02 / $473.53	Facility		$63.71	$265.02	$473.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $53.10 / $228.20	Professional		$53.10	$53.10	$228.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $103.35 / $103.35	Professional		$103.35	$103.35	$103.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $113.00 / $186.45	Facility		$64.98	$113.00	$186.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.15 / $477.50 / $644.62	Professional		$62.15	$477.50	$644.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $64.72 / $96.25	Facility		$46.23	$64.72	$96.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $50.85 / $60.10	Professional		$46.23	$50.85	$60.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $66.38	Professional		$56.42	$56.42	$66.38
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $84.75	Professional		$56.50	$56.50	$84.75