Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $48.25 / $97.48	Facility		$48.25	$48.25	$97.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $50.11 / $52.89	Professional		$46.40	$50.11	$52.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $73.11 / $73.11	Professional		$73.11	$73.11	$73.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.01 / $87.24 / $97.48	Facility		$77.01	$87.24	$97.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $55.44 / $76.50	Professional		$47.56	$55.44	$76.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.84 / $107.23 / $146.22	Facility		$74.84	$107.23	$146.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $107.23 / $131.60	Professional		$82.86	$107.23	$131.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $97.48	Facility		$62.72	$62.72	$97.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $100.00	Professional		$45.79	$62.72	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $147.61 / $147.61 / $147.61	Facility		$147.61	$147.61	$147.61
United Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $48.20 / $69.34	Professional		$30.68	$48.20	$69.34