Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $91.20	Professional		$50.12	$60.26	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $89.13	Professional		$81.28	$81.28	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $117.49 / $147.91	Facility		$61.66	$117.49	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $109.65	Professional		$61.66	$61.66	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $131.83 / $158.49	Facility		$107.15	$131.83	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $117.49	Facility		$66.07	$66.07	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $95.50	Professional		$48.98	$48.98	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $72.44 / $93.33	Facility		$39.81	$72.44	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $79.43	Professional		$34.67	$54.95	$79.43