Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $144.54 / $407.38	Facility		$33.88	$144.54	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $79.43	Professional		$20.89	$26.30	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.79 / $29.51	Professional		$13.18	$14.79	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $89.13	Facility		$29.51	$29.51	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $29.51	Professional		$14.13	$16.60	$29.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $29.51 / $38.90	Facility		$20.42	$29.51	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $35.48	Professional		$19.05	$29.51	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $29.51 / $66.07	Facility		$21.88	$29.51	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $63.10 / $75.86	Professional		$21.38	$63.10	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $29.51 / $29.51	Facility		$13.18	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.05 / $32.36	Professional		$12.30	$19.05	$32.36