Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $35.65 / $72.03	Facility		$35.65	$35.65	$72.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $35.65 / $57.38	Professional		$30.26	$35.65	$57.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Professional		$89.00	$89.00	$89.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.90 / $64.47 / $72.03	Facility		$56.90	$64.47	$72.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $32.60 / $44.01	Professional		$31.86	$32.60	$44.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $75.63 / $100.84	Facility		$49.50	$75.63	$100.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $79.23 / $97.24	Professional		$61.23	$79.23	$97.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $72.03	Facility		$36.61	$36.61	$72.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $36.61 / $73.89	Professional		$26.73	$36.61	$73.89
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $33.22 / $46.42	Professional		$18.10	$33.22	$46.42