Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $72.58 / $100.12	Facility		$18.53	$72.58	$100.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $41.32 / $118.86	Professional		$29.17	$41.32	$118.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $60.29 / $78.00	Professional		$51.00	$60.29	$78.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.51 / $71.95 / $80.39	Facility		$63.51	$71.95	$80.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $40.10 / $55.33	Professional		$32.22	$40.10	$55.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $88.43 / $112.55	Facility		$60.29	$88.43	$112.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $92.45 / $112.55	Professional		$68.33	$92.45	$112.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $80.39	Facility		$45.70	$45.70	$80.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $82.47	Professional		$33.36	$33.36	$82.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $37.76 / $52.26	Professional		$21.97	$37.76	$52.26