Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.91 / $48.91 / $98.82	Facility		$48.91	$48.91	$98.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $50.79 / $57.49	Professional		$48.91	$50.79	$57.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $92.64 / $92.64	Professional		$92.64	$92.64	$92.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $88.44 / $98.82	Facility		$78.06	$88.44	$98.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $57.96 / $79.98	Professional		$48.19	$57.96	$79.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.12 / $108.70 / $143.60	Facility		$74.12	$108.70	$143.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $108.70 / $133.41	Professional		$84.00	$108.70	$133.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $98.82	Facility		$56.69	$62.81	$98.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $101.36	Professional		$45.85	$62.81	$101.36
United Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $47.76 / $71.86	Professional		$31.84	$47.76	$71.86