Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $97.37 / $265.50	Facility		$29.60	$97.37	$265.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $25.68 / $36.54	Professional		$20.72	$25.68	$36.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $14.80 / $20.56	Professional		$14.80	$14.80	$20.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $27.02 / $88.80	Facility		$23.38	$27.02	$88.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.78 / $21.72	Professional		$14.00	$16.78	$21.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $32.56 / $41.44	Facility		$29.60	$32.56	$41.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $31.08 / $39.96	Professional		$19.23	$31.08	$39.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $29.60 / $76.30	Facility		$21.66	$29.60	$76.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $36.25 / $66.18	Professional		$19.48	$36.25	$66.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.76 / $30.45	Professional		$12.43	$17.76	$30.45