Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $65.19 / $128.72	Facility		$21.38	$65.19	$128.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $19.41 / $21.73	Professional		$15.21	$19.41	$21.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $21.73	Professional		$10.87	$10.87	$21.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $19.55 / $65.19	Facility		$17.17	$19.55	$65.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $10.73 / $15.94	Professional		$9.06	$10.73	$15.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $23.90 / $30.42	Facility		$21.73	$23.90	$30.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $22.82 / $29.34	Professional		$14.12	$22.82	$29.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $21.73 / $56.18	Facility		$15.90	$21.73	$56.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $24.78 / $48.58	Professional		$14.31	$24.78	$48.58
United Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $21.73 / $34.97	Facility		$21.73	$21.73	$34.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $13.04 / $21.73	Professional		$9.13	$13.04	$21.73