Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $50.12 / $204.17	Facility		$18.20	$50.12	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $81.28	Professional		$12.88	$15.14	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $10.72	Professional		$9.12	$9.12	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $53.70	Facility		$18.20	$18.20	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $18.20	Professional		$8.91	$8.91	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.20 / $23.44	Facility		$12.30	$18.20	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $21.88	Professional		$11.75	$18.20	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $18.20 / $39.81	Facility		$13.18	$18.20	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $38.90 / $44.67	Professional		$13.18	$38.90	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $18.20 / $18.20	Facility		$8.13	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $19.95	Professional		$7.59	$11.48	$19.95