Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $61.66 / $147.91	Facility		$12.88	$61.66	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $15.14	Professional		$9.55	$11.48	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.59 / $10.96	Professional		$6.31	$7.59	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $38.02	Facility		$12.88	$12.88	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.31 / $12.88	Professional		$5.75	$6.31	$12.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.88 / $16.60	Facility		$8.71	$12.88	$16.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $15.14	Professional		$8.32	$12.88	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $17.38 / $32.36	Facility		$9.33	$17.38	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $26.92	Professional		$8.13	$11.48	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.88 / $12.88	Facility		$5.75	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $14.13	Professional		$5.37	$7.76	$14.13