Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $77.62 / $154.88	Facility		$51.29	$77.62	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $51.29	Professional		$40.74	$43.65	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $25.70	Professional		$21.88	$21.88	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $154.88	Facility		$51.29	$51.29	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $42.66	Professional		$21.88	$26.92	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $64.57	Facility		$34.67	$34.67	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $51.29 / $114.82	Facility		$33.11	$51.29	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $66.07 / $81.28	Professional		$31.62	$66.07	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $51.29	Facility		$22.91	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $51.29	Professional		$21.38	$30.90	$51.29