Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $88.87	Facility		$43.99	$43.99	$88.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $45.68 / $50.75	Professional		$42.30	$45.68	$50.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $62.21 / $62.21	Professional		$49.99	$62.21	$62.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $79.54 / $88.87	Facility		$70.20	$79.54	$88.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $46.60 / $64.30	Professional		$43.35	$46.60	$64.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.01 / $97.76 / $133.31	Facility		$67.01	$97.76	$133.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $97.76 / $119.97	Professional		$75.54	$97.76	$119.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $88.87	Facility		$49.61	$49.61	$88.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $91.16	Professional		$36.22	$36.22	$91.16
United Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $42.48 / $59.67	Professional		$26.40	$42.48	$59.67