Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $55.50 / $73.66	Professional		$45.67	$55.50	$73.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $94.97 / $126.62	Professional		$94.97	$94.97	$126.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.11 / $93.03 / $103.94	Facility		$82.11	$93.03	$103.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $105.85 / $137.60	Professional		$80.73	$105.85	$137.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $85.76 / $155.91	Facility		$10.39	$85.76	$155.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $81.86 / $145.61	Professional		$9.36	$81.86	$145.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $88.97	Facility		$66.45	$66.45	$88.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $68.45 / $121.12	Professional		$56.49	$68.45	$121.12
United Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $56.05 / $102.47	Professional		$34.58	$56.05	$102.47