Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $53.70 / $125.89	Facility		$33.88	$53.70	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $28.18 / $33.11	Professional		$10.00	$28.18	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $102.33	Facility		$33.88	$33.88	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.37 / $25.12	Professional		$3.39	$5.37	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $501.19 / $43,651.58	Facility		$23.44	$501.19	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $38.90 / $3,388.44	Professional		$4.47	$38.90	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.88 / $33.88	Facility		$15.49	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $33.88	Professional		$14.45	$20.42	$33.88