Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $90.20 / $147.58	Facility		$57.70	$90.20	$147.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $59.92 / $77.89	Professional		$55.48	$59.92	$77.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.43 / $87.43	Professional		$57.54	$87.43	$87.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $104.33 / $116.57	Facility		$92.09	$104.33	$116.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $61.34 / $84.64	Professional		$56.88	$61.34	$84.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.69 / $128.22 / $174.86	Facility		$100.69	$128.22	$174.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $139.88 / $165.84	Professional		$116.57	$139.88	$165.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $116.57	Facility		$68.22	$68.22	$116.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $110.77	Professional		$49.80	$68.22	$110.77
United Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $55.57 / $77.91	Professional		$33.50	$55.57	$77.91