Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Facility		$68.45	$68.45	$68.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $68.45 / $79.41	Professional		$61.50	$68.45	$79.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $233.50 / $233.50	Professional		$233.50	$233.50	$233.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $68.50 / $132.21	Facility		$68.50	$68.50	$132.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $68.50 / $97.27	Professional		$68.50	$68.50	$97.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $111.34 / $404.19	Facility		$79.05	$111.34	$404.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $82.67 / $103.34	Professional		$68.89	$82.67	$103.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $89.24	Professional		$63.51	$63.51	$89.24
United Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $184.74 / $269.23	Professional		$128.26	$184.74	$269.23