Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $81.28 / $281.84	Facility		$21.38	$81.28	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $19.95	Professional		$16.98	$19.50	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.14	Professional		$12.88	$12.88	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $64.57	Facility		$21.88	$21.88	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.72 / $21.88	Professional		$10.23	$10.72	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $28.18	Facility		$14.79	$21.88	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $26.30	Professional		$14.13	$21.88	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $21.88 / $47.86	Facility		$15.85	$21.88	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $36.31 / $45.71	Professional		$15.49	$36.31	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $21.88 / $21.88	Facility		$9.77	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $21.88	Professional		$9.12	$12.88	$21.88