Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.51 / $292.25 / $292.25	Facility		$44.51	$292.25	$292.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $48.31 / $83.30	Professional		$44.50	$48.31	$83.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $67.45 / $94.43	Professional		$57.00	$67.45	$94.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $80.48 / $89.93	Facility		$71.04	$80.48	$89.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $54.74 / $75.54	Professional		$43.87	$54.74	$75.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.66 / $103.42 / $134.90	Facility		$78.66	$103.42	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $107.92 / $129.56	Professional		$89.93	$107.92	$129.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $89.93	Facility		$56.94	$58.00	$89.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $92.26	Professional		$42.34	$58.00	$92.26
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $44.87 / $65.68	Professional		$29.91	$44.87	$65.68