Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $92.66 / $266.95	Facility		$25.06	$92.66	$266.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $21.78 / $23.08	Professional		$19.10	$21.78	$23.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $17.69 / $25.47	Professional		$12.74	$17.69	$25.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $23.24 / $76.41	Facility		$20.12	$23.24	$76.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.58 / $18.69	Professional		$12.04	$12.58	$18.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $28.02 / $35.65	Facility		$25.47	$28.02	$35.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $26.74 / $34.38	Professional		$16.55	$26.74	$34.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $25.47 / $66.23	Facility		$18.64	$25.47	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $29.32 / $56.91	Professional		$16.77	$29.32	$56.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.28 / $27.99	Professional		$10.70	$15.28	$27.99