Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $254.93	Facility		$52.43	$52.43	$254.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $54.44 / $63.36	Professional		$50.41	$54.44	$63.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $79.44 / $79.44	Professional		$79.44	$79.44	$79.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.68 / $94.80 / $105.92	Facility		$83.68	$94.80	$105.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $58.04 / $79.44	Professional		$46.43	$58.04	$79.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $116.51 / $148.29	Facility		$79.44	$116.51	$148.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $116.51 / $142.99	Professional		$90.03	$116.51	$142.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $105.92	Facility		$59.92	$59.92	$105.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $59.92 / $107.70	Professional		$43.74	$59.92	$107.70
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $48.86 / $72.00	Professional		$28.51	$48.86	$72.00