Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $36.14 / $203.56	Facility		$22.17	$36.14	$203.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $18.18 / $32.50	Professional		$16.03	$18.18	$32.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $13.30 / $13.30	Professional		$13.30	$13.30	$13.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $19.95 / $66.51	Facility		$17.51	$19.95	$66.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.92 / $15.37	Professional		$8.53	$8.92	$15.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $26.75 / $29.93	Facility		$22.17	$26.75	$29.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $25.50 / $31.43	Professional		$22.17	$25.50	$31.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $22.17 / $51.98	Facility		$14.41	$22.17	$51.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $25.61 / $38.94	Professional		$11.89	$25.61	$38.94
United Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $22.17 / $75.13	Facility		$22.17	$22.17	$75.13
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $13.30 / $20.71	Professional		$9.31	$13.30	$20.71