Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $77.81 / $243.50	Facility		$20.96	$77.81	$243.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.32 / $21.12	Professional		$15.56	$19.32	$21.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $11.12 / $22.23	Professional		$11.12	$11.12	$22.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $20.30 / $66.69	Facility		$17.55	$20.30	$66.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $10.98 / $16.30	Professional		$10.52	$10.98	$16.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $24.45 / $31.12	Facility		$22.23	$24.45	$31.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.34 / $30.01	Professional		$14.45	$23.34	$30.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $22.23 / $57.85	Facility		$16.27	$22.23	$57.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $25.61 / $49.71	Professional		$14.64	$25.61	$49.71
United Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $22.23 / $39.08	Facility		$22.23	$22.23	$39.08
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $14.45 / $22.23	Professional		$9.34	$14.45	$22.23