Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $83.18 / $181.97	Facility		$39.81	$83.18	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $51.29	Professional		$38.90	$39.81	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $60.26 / $87.10	Facility		$46.77	$60.26	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $83.18	Facility		$46.77	$54.95	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $69.18	Facility		$39.81	$39.81	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $51.29	Professional		$39.81	$39.81	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $93.33	Facility		$46.77	$46.77	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $51.29	Professional		$39.81	$42.66	$51.29