Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $64.57	Professional		$38.90	$57.54	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $114.82	Professional		$85.11	$85.11	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.50 / $120.23	Facility		$75.86	$95.50	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $141.25	Professional		$74.13	$91.20	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $138.04 / $186.21	Facility		$13.80	$138.04	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $112.20	Professional		$51.29	$60.26	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $41.69 / $79.43	Facility		$5.25	$41.69	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $91.20	Professional		$30.20	$54.95	$91.20