Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $30.86 / $113.90	Facility		$25.31	$30.86	$113.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $25.31 / $29.32	Professional		$21.23	$25.31	$29.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $19.29 / $19.29	Professional		$19.29	$19.29	$19.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $27.77 / $92.58	Facility		$24.38	$27.77	$92.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.42 / $18.48	Professional		$9.01	$9.42	$18.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $37.03 / $41.66	Facility		$30.86	$37.03	$41.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $35.49 / $43.74	Professional		$30.86	$35.49	$43.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $30.86 / $72.11	Facility		$20.05	$30.86	$72.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $35.52 / $46.91	Professional		$15.11	$35.52	$46.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $18.52 / $27.77	Professional		$12.96	$18.52	$27.77