Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $70.79 / $251.19	Facility		$21.38	$70.79	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $34.67	Professional		$15.85	$18.62	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $21.38	Professional		$12.88	$12.88	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $63.10	Facility		$21.38	$21.38	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $21.38	Professional		$10.47	$10.47	$21.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.38 / $27.54	Facility		$14.45	$21.38	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.38 / $25.70	Professional		$13.80	$21.38	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $26.92 / $54.95	Facility		$14.13	$26.92	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $45.71	Professional		$10.72	$15.14	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $21.38 / $21.38	Facility		$9.55	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $23.44	Professional		$8.91	$13.49	$23.44