Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $31.10 / $62.84	Facility		$31.10	$31.10	$62.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $31.68 / $33.75	Professional		$29.91	$31.68	$33.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Professional		$43.99	$43.99	$43.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $56.24 / $62.84	Facility		$49.64	$56.24	$62.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $33.04 / $45.59	Professional		$30.65	$33.04	$45.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.36 / $69.12 / $94.26	Facility		$47.36	$69.12	$94.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $69.12 / $84.83	Professional		$53.41	$69.12	$84.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $62.84	Facility		$35.07	$35.07	$62.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $35.07 / $64.45	Professional		$25.60	$35.07	$64.45
United Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $30.04 / $42.18	Professional		$18.66	$30.04	$42.18