Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $36.79 / $63.23	Facility		$36.79	$36.79	$63.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $36.79 / $57.77	Professional		$33.76	$36.79	$57.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $66.89 / $97.00	Professional		$66.89	$66.89	$97.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $56.59 / $63.23	Facility		$49.95	$56.59	$63.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $63.26 / $85.22	Professional		$30.41	$63.26	$85.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $74.48 / $94.85	Facility		$53.75	$74.48	$94.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $69.55 / $85.36	Professional		$53.75	$69.55	$85.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $67.20 / $77.70	Facility		$63.23	$67.20	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $85.88	Professional		$49.06	$67.20	$85.88
United Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $149.47 / $149.47	Facility		$149.47	$149.47	$149.47
United Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $51.83 / $74.81	Professional		$34.54	$51.83	$74.81