Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $100.00	Professional		$61.66	$67.61	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $95.50	Professional		$91.20	$91.20	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $141.25 / $173.78	Facility		$81.28	$141.25	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $141.25	Professional		$72.44	$81.28	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $169.82 / $204.17	Facility		$134.90	$169.82	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $141.25	Facility		$89.13	$89.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $114.82	Professional		$64.57	$64.57	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $109.65	Facility		$79.43	$93.33	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $93.33	Professional		$40.74	$69.18	$93.33