Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $91.20 / $208.93	Facility		$45.71	$91.20	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $2,818.38	Professional		$44.67	$45.71	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $67.61 / $100.00	Facility		$53.70	$67.61	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $87.10	Professional		$45.71	$45.71	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $79.43	Facility		$44.67	$44.67	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $48.98	Professional		$44.67	$44.67	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $102.33	Facility		$45.71	$45.71	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $104.71	Professional		$26.92	$45.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $79.43	Facility		$44.67	$44.67	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $56.23	Professional		$45.71	$45.71	$56.23