Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $47.16 / $95.29	Facility		$47.16	$47.16	$95.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $48.98 / $51.70	Professional		$45.26	$48.98	$51.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $66.70 / $66.70	Professional		$66.70	$66.70	$66.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.28 / $85.28 / $95.29	Facility		$75.28	$85.28	$95.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $49.30 / $68.03	Professional		$46.47	$49.30	$68.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $104.82 / $142.94	Facility		$81.00	$104.82	$142.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $104.82 / $128.63	Professional		$81.00	$104.82	$128.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $95.29	Facility		$61.62	$61.62	$95.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $61.62 / $89.53	Professional		$44.98	$61.62	$89.53
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $45.55 / $63.64	Professional		$27.07	$45.55	$63.64