Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.79 / $236.22 / $613.74	Facility		$54.79	$236.22	$613.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.20 / $62.00	Professional		$19.00	$25.20	$62.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Professional		$36.09	$36.09	$36.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $34.20 / $246.26	Facility		$17.10	$34.20	$246.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.36 / $26.13	Professional		$17.10	$17.36	$26.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $37.89 / $54.14	Facility		$32.21	$37.89	$54.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $37.89 / $54.14	Professional		$24.22	$37.89	$54.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $48.34 / $128.87	Facility		$21.02	$48.34	$128.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $51.29 / $68.73	Professional		$19.73	$51.29	$68.73
United Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $23.48 / $45.68	Professional		$17.61	$23.48	$45.68