Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $43.21 / $90.80	Facility		$43.21	$43.21	$90.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $44.07 / $45.17	Professional		$43.21	$44.07	$45.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $63.56 / $63.56	Professional		$63.56	$63.56	$63.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $81.27 / $90.80	Facility		$71.73	$81.27	$90.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $54.54 / $75.26	Professional		$44.29	$54.54	$75.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $99.88 / $136.19	Facility		$68.45	$99.88	$136.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $99.88 / $122.58	Professional		$77.18	$99.88	$122.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $90.80	Facility		$50.66	$50.66	$90.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $50.66 / $93.13	Professional		$36.97	$50.66	$93.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $45.29 / $62.32	Professional		$26.96	$45.29	$62.32