Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $30.90 / $109.65	Facility		$9.55	$30.90	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $25.12	Professional		$7.08	$8.71	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.76 / $9.55	Professional		$5.75	$6.76	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $28.84	Facility		$9.55	$9.55	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.68 / $9.55	Professional		$4.27	$4.68	$9.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $9.55 / $12.59	Facility		$6.31	$9.55	$12.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.55 / $11.48	Professional		$6.17	$9.55	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $9.55 / $21.38	Facility		$7.08	$9.55	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $15.85 / $19.05	Professional		$6.76	$15.85	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $9.55 / $9.55	Facility		$4.27	$9.55	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.25 / $9.55	Professional		$3.98	$5.25	$9.55