Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $41.19 / $228.16	Facility		$20.72	$41.19	$228.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $22.47 / $22.91	Professional		$20.72	$22.47	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $23.08 / $75.81	Facility		$19.96	$23.08	$75.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $12.48 / $18.54	Professional		$11.96	$12.48	$18.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $27.80 / $35.38	Facility		$25.27	$27.80	$35.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $26.53 / $34.11	Professional		$16.43	$26.53	$34.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $25.27 / $65.41	Facility		$18.48	$25.27	$65.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $28.91 / $56.50	Professional		$16.64	$28.91	$56.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $19.42 / $25.27	Professional		$10.61	$19.42	$25.27