Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $79.43 / $281.84	Facility		$27.54	$79.43	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $38.02	Professional		$19.95	$25.12	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $85.11	Facility		$28.18	$28.18	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.80 / $28.18	Professional		$13.18	$13.80	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.18 / $36.31	Facility		$19.05	$28.18	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $33.88	Professional		$18.20	$28.18	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $38.02 / $72.44	Facility		$20.42	$38.02	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.95 / $61.66	Professional		$14.45	$19.95	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.18 / $28.18	Facility		$12.59	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $30.90	Professional		$11.75	$17.78	$30.90