Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.24 / $54.24 / $109.58	Facility		$54.24	$54.24	$109.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $54.24 / $58.86	Professional		$48.64	$54.24	$58.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $98.07 / $109.58	Facility		$86.57	$98.07	$109.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $52.62 / $72.61	Professional		$51.22	$52.62	$72.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $120.54 / $164.37	Facility		$82.66	$120.54	$164.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $120.54 / $147.93	Professional		$93.14	$120.54	$147.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $109.58	Facility		$62.81	$62.81	$109.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $96.23	Professional		$45.85	$62.81	$96.23
United Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $51.91 / $70.00	Professional		$29.10	$51.91	$70.00