Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $152.33 / $399.25	Facility		$41.28	$152.33	$399.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $36.79 / $41.28	Professional		$33.85	$36.79	$41.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $20.64 / $41.28	Professional		$20.64	$20.64	$41.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $37.69 / $123.84	Facility		$32.61	$37.69	$123.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $20.38 / $30.29	Professional		$19.53	$20.38	$30.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $45.41 / $57.79	Facility		$41.28	$45.41	$57.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $43.34 / $55.73	Professional		$26.83	$43.34	$55.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $41.28 / $106.49	Facility		$30.20	$41.28	$106.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $47.50 / $92.27	Professional		$27.18	$47.50	$92.27
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $25.24 / $41.28	Professional		$17.34	$25.24	$41.28