Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $109.65 / $154.88	Professional		$44.67	$109.65	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.38 / $20.89	Professional		$9.77	$17.38	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $11.75	Facility		$6.03	$6.03	$11.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $16.60	Professional		$6.03	$6.03	$16.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $30.90	Facility		$22.91	$22.91	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $27.54	Professional		$14.79	$23.99	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $21.88 / $43.65	Professional		$7.94	$21.88	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.30 / $15.49	Facility		$6.03	$12.30	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.02 / $22.39	Professional		$9.33	$12.02	$22.39