Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $90.35 / $287.72	Facility		$27.49	$90.35	$287.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.96 / $32.00	Professional		$19.55	$24.96	$32.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $13.97 / $27.94	Professional		$13.97	$13.97	$27.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $25.51 / $83.82	Facility		$22.07	$25.51	$83.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.80 / $20.50	Professional		$13.22	$13.80	$20.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $30.73 / $39.11	Facility		$27.94	$30.73	$39.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $29.34 / $37.72	Professional		$18.16	$29.34	$37.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $27.94 / $72.11	Facility		$20.45	$27.94	$72.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $31.80 / $62.46	Professional		$18.39	$31.80	$62.46
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.76 / $27.94	Professional		$11.73	$16.76	$27.94