Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $63.10 / $309.03	Facility		$36.31	$63.10	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $134.90	Professional		$28.18	$31.62	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $109.65	Facility		$36.31	$36.31	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $36.31	Professional		$18.20	$18.20	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $45.71	Facility		$25.12	$25.12	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $36.31 / $81.28	Facility		$26.92	$36.31	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $79.43 / $93.33	Professional		$26.30	$79.43	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $36.31 / $36.31	Facility		$16.60	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $39.81	Professional		$15.49	$23.44	$39.81