Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $71.61 / $265.91	Facility		$17.79	$71.61	$265.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $19.37 / $19.67	Professional		$17.79	$19.37	$19.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $10.85 / $15.07	Professional		$10.85	$10.85	$15.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $19.80 / $65.09	Facility		$17.14	$19.80	$65.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.71 / $15.92	Professional		$10.26	$10.71	$15.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $23.87 / $30.38	Facility		$21.70	$23.87	$30.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $22.79 / $29.30	Professional		$14.11	$22.79	$29.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $21.70 / $56.18	Facility		$15.88	$21.70	$56.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $24.78 / $36.42	Professional		$14.28	$24.78	$36.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.27 / $23.85	Professional		$9.11	$13.27	$23.85