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 / $66.07 / $128.82	Professional		$44.67	$66.07	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.77 / $11.48	Professional		$5.89	$9.77	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $10.96	Facility		$5.62	$5.62	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $16.60	Professional		$5.62	$5.62	$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 $7.41 / $21.88 / $43.65	Professional		$7.41	$21.88	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.30 / $15.85	Facility		$6.03	$12.30	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $23.99	Professional		$9.33	$14.45	$23.99