Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $28.89 / $103.17	Facility		$15.56	$28.89	$103.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.48 / $18.52	Professional		$12.04	$13.48	$18.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Professional		$18.52	$18.52	$18.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $16.67 / $55.56	Facility		$14.63	$16.67	$55.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $7.41 / $13.19	Professional		$6.65	$7.41	$13.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $20.37 / $25.93	Facility		$18.52	$20.37	$25.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $19.45 / $25.00	Professional		$12.04	$19.45	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $18.52 / $42.75	Facility		$12.04	$18.52	$42.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $21.06 / $26.33	Professional		$8.94	$21.06	$26.33
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $10.58 / $16.67	Professional		$7.78	$10.58	$16.67