Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.07 / $38.07 / $79.98	Facility		$38.07	$38.07	$79.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $39.06 / $44.49	Professional		$38.07	$39.06	$44.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $60.00 / $60.00	Professional		$59.99	$60.00	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $71.59 / $79.98	Facility		$63.19	$71.59	$79.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $52.34 / $70.65	Professional		$40.96	$52.34	$70.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $87.99 / $119.99	Facility		$65.69	$87.99	$119.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $87.99 / $107.99	Professional		$67.98	$87.99	$107.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $79.98	Facility		$51.74	$51.74	$79.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $82.07	Professional		$37.77	$37.77	$82.07
United Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $39.90 / $60.13	Professional		$26.60	$39.90	$60.13