Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.64 / $84.64 / $84.64	Facility		$84.64	$84.64	$84.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $84.64 / $123.34	Professional		$76.95	$84.64	$123.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $20.82 / $20.82	Professional		$20.82	$20.82	$20.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $951.97 / $3,500.00	Facility		$64.69	$951.97	$3,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $64.69 / $89.27	Professional		$56.46	$64.69	$89.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.79 / $107.19 / $130.19	Facility		$86.79	$107.19	$130.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $95.47 / $121.51	Professional		$86.79	$95.47	$121.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $85.39	Professional		$73.14	$73.14	$85.39
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $85.67 / $142.69	Professional		$68.86	$85.67	$142.69