Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $53.70 / $199.53	Facility		$23.44	$53.70	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $35.48	Professional		$15.85	$19.95	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $72.44	Facility		$23.99	$23.99	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.55 / $18.62	Professional		$8.32	$9.55	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $23.99 / $31.62	Facility		$13.18	$23.99	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.99 / $28.84	Professional		$15.49	$23.99	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.99 / $45.71	Facility		$15.49	$23.99	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $38.02 / $43.65	Professional		$13.49	$38.02	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $23.99 / $23.99	Facility		$10.96	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $23.99	Professional		$10.00	$14.45	$23.99