Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $109.65 / $309.03	Facility		$20.89	$109.65	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $57.54	Professional		$12.88	$14.13	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $51.29	Facility		$17.38	$17.38	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $17.38	Professional		$6.92	$6.92	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $17.38 / $22.39	Facility		$12.59	$17.38	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $20.89	Professional		$11.22	$17.38	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $11.22 / $67.61	Facility		$9.12	$11.22	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $24.55	Professional		$8.13	$16.22	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $17.38 / $17.38	Facility		$7.76	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $17.38	Professional		$7.24	$10.47	$17.38