Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $48.42 / $97.83	Facility		$48.42	$48.42	$97.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $50.55 / $58.75	Professional		$48.42	$50.55	$58.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $73.37 / $73.37	Professional		$55.03	$73.37	$73.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $87.56 / $97.83	Facility		$77.29	$87.56	$97.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $58.96 / $81.36	Professional		$47.73	$58.96	$81.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $107.61 / $146.75	Facility		$83.16	$107.61	$146.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $117.40 / $136.96	Professional		$97.83	$117.40	$136.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $97.83	Facility		$72.18	$72.18	$97.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $72.18 / $100.37	Professional		$52.69	$72.18	$100.37
United Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $48.81 / $70.02	Professional		$32.54	$48.81	$70.02