Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $89.65 / $862.34	Facility		$17.93	$89.65	$862.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $66.30 / $143.82	Professional		$15.53	$66.30	$143.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $8.97 / $17.93	Professional		$8.97	$8.97	$17.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $16.14 / $53.79	Facility		$14.16	$16.14	$53.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.86 / $13.16	Professional		$8.30	$8.86	$13.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $19.72 / $25.10	Facility		$17.93	$19.72	$25.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $18.82 / $24.21	Professional		$11.65	$18.82	$24.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $17.93 / $46.13	Facility		$13.12	$17.93	$46.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $20.65 / $45.11	Professional		$11.81	$20.65	$45.11
United Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $18.82 / $18.82	Facility		$18.82	$18.82	$18.82
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $11.55 / $17.93	Professional		$7.53	$11.55	$17.93