Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $57.54 / $275.42	Facility		$19.95	$57.54	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $38.02	Professional		$12.59	$19.95	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $9.33	Professional		$8.71	$8.71	$9.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $51.29	Facility		$17.38	$17.38	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $17.38 / $25.70	Professional		$6.92	$17.38	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.38 / $22.39	Facility		$16.22	$17.38	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $20.89	Professional		$11.22	$17.38	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $11.22 / $67.61	Facility		$9.12	$11.22	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $32.36	Professional		$16.22	$22.91	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $17.38 / $17.38	Facility		$7.76	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $17.38	Professional		$7.24	$10.47	$17.38