Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $107.15 / $204.17	Professional		$44.67	$107.15	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $17.38 / $20.89	Professional		$6.17	$17.38	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $9.77	Facility		$5.01	$5.01	$9.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $16.60	Professional		$5.01	$5.01	$16.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $25.12	Professional		$14.45	$21.88	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $21.88 / $43.65	Professional		$6.61	$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 / $22.91	Professional		$9.33	$12.02	$22.91