Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $53.70 / $112.20	Facility		$33.88	$53.70	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.18 / $51.29	Professional		$26.92	$28.18	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $102.33	Facility		$33.88	$33.88	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $33.11	Professional		$15.49	$15.49	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $44.67	Facility		$22.91	$33.88	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $40.74	Professional		$22.39	$33.88	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $64.57	Facility		$22.91	$33.88	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $72.44	Professional		$15.85	$22.39	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.88 / $33.88	Facility		$15.49	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $33.88	Professional		$14.45	$20.42	$33.88