Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $81.28	Facility		$79.43	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $91.20	Professional		$72.44	$81.28	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $75.86	Professional		$52.48	$61.66	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $165.96	Facility		$87.10	$87.10	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $138.04	Professional		$81.28	$87.10	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $114.82	Professional		$79.43	$100.00	$114.82