Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.87 / $61.87 / $61.87	Facility		$61.87	$61.87	$61.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $61.87 / $70.43	Professional		$50.56	$61.87	$70.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $109.43 / $109.43	Professional		$109.43	$109.43	$109.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $84.75 / $94.69	Facility		$74.81	$84.75	$94.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $72.98 / $96.33	Professional		$43.74	$72.98	$96.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $75.68 / $133.55	Facility		$9.47	$75.68	$133.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $74.56 / $124.64	Professional		$8.05	$74.56	$124.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $79.36	Facility		$64.23	$64.23	$79.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $64.23 / $120.37	Professional		$54.60	$64.23	$120.37
United Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $49.52 / $81.28	Professional		$31.17	$49.52	$81.28