Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $78.31 / $143.81	Facility		$58.35	$78.31	$143.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $60.59 / $90.74	Professional		$56.11	$60.59	$90.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $115.00 / $123.78	Professional		$88.42	$115.00	$123.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $105.51 / $117.89	Facility		$93.13	$105.51	$117.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $64.01 / $88.33	Professional		$57.52	$64.01	$88.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $129.68 / $176.84	Facility		$88.92	$129.68	$176.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $129.68 / $159.15	Professional		$100.21	$129.68	$159.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $120.93	Professional		$48.04	$65.81	$120.93
United Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $168.53 / $168.53	Facility		$168.53	$168.53	$168.53
United Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $56.20 / $79.17	Professional		$35.03	$56.20	$79.17