Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $18.53 / $157.81	Facility		$16.50	$18.53	$157.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $66.95 / $141.19	Professional		$40.14	$66.95	$141.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $93.50 / $157.91	Professional		$70.12	$93.50	$157.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.48 / $111.57 / $124.66	Facility		$98.48	$111.57	$124.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $83.38 / $115.06	Professional		$60.82	$83.38	$115.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $149.59 / $186.99	Facility		$124.66	$149.59	$186.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.66 / $149.59 / $186.99	Professional		$124.66	$149.59	$186.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $124.66	Facility		$86.64	$86.64	$124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $127.89	Professional		$63.25	$86.64	$127.89
United Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $62.19 / $91.05	Professional		$41.46	$62.19	$91.05