Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.13 / $101.43 / $254.37	Facility		$52.13	$101.43	$254.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $53.25 / $129.32	Professional		$46.06	$53.25	$129.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $67.31 / $74.00	Professional		$55.09	$67.31	$74.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $37.90 / $58.74	Professional		$26.98	$37.90	$58.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.62 / $60.74 / $72.72	Facility		$50.62	$60.74	$72.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $60.42 / $75.93	Professional		$50.62	$60.42	$75.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $48.80 / $61.88	Professional		$36.85	$48.80	$61.88
United Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $52.35 / $86.90	Professional		$26.34	$52.35	$86.90