Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $138.04 / $562.34	Facility		$40.74	$138.04	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $83.18	Professional		$30.20	$35.48	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $40.74	Professional		$24.55	$24.55	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $123.03	Facility		$40.74	$40.74	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $40.74	Professional		$19.95	$19.95	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $40.74 / $52.48	Facility		$26.92	$40.74	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $48.98	Professional		$26.30	$40.74	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $54.95 / $104.71	Facility		$32.36	$54.95	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $89.13	Professional		$20.42	$28.84	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $40.74 / $40.74	Facility		$18.20	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $44.67	Professional		$16.98	$26.30	$44.67