Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $48.98 / $177.83	Facility		$14.45	$48.98	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $32.36	Professional		$10.96	$12.88	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.24 / $14.45	Professional		$6.17	$7.24	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $43.65	Facility		$14.45	$14.45	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.24 / $14.45	Professional		$6.92	$7.24	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $14.45 / $19.05	Facility		$8.71	$14.45	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.45 / $17.38	Professional		$9.55	$14.45	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.45 / $26.30	Facility		$10.47	$14.45	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.23 / $31.62	Professional		$7.41	$10.23	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $14.45 / $14.45	Facility		$6.61	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.76 / $14.45	Professional		$4.79	$6.76	$14.45