Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $46.77 / $177.83	Facility		$12.59	$46.77	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $33.88	Professional		$10.00	$11.22	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $19.05	Professional		$7.59	$7.59	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $38.02	Facility		$12.59	$12.59	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.17 / $12.59	Professional		$5.89	$6.17	$12.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.59 / $16.22	Facility		$8.51	$12.59	$16.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $15.14	Professional		$8.13	$12.59	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.59 / $27.54	Facility		$9.12	$12.59	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $22.91 / $26.92	Professional		$9.12	$22.91	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.59 / $12.59	Facility		$5.62	$12.59	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.59 / $12.59	Professional		$5.25	$7.59	$12.59