Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $194.48 / $614.04	Facility		$47.63	$194.48	$614.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $39.06 / $47.63	Professional		$36.49	$39.06	$47.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $33.08 / $47.63	Professional		$23.82	$33.08	$47.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $42.87 / $142.88	Facility		$37.63	$42.87	$142.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $13.68 / $32.86	Professional		$12.81	$13.68	$32.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $52.39 / $66.68	Facility		$47.63	$52.39	$66.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $50.01 / $64.30	Professional		$30.96	$50.01	$64.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $47.63 / $123.26	Facility		$34.15	$47.63	$123.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $54.52 / $91.62	Professional		$30.74	$54.52	$91.62
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.58 / $44.65	Professional		$20.00	$28.58	$44.65