Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $89.13	Facility		$30.20	$46.77	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $85.11	Professional		$34.67	$56.23	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $15.14	Professional		$11.22	$13.80	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $89.13	Facility		$30.20	$30.20	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $9.12 / $21.88	Professional		$5.50	$9.12	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $30.20 / $38.90	Facility		$17.38	$30.20	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $36.31	Professional		$19.50	$30.20	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.50 / $43.65	Facility		$11.48	$19.50	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.80 / $43.65	Professional		$7.76	$13.80	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $30.20 / $30.20	Facility		$9.77	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $30.20	Professional		$9.77	$12.59	$30.20