Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $45.20 / $250.10	Facility		$20.81	$45.20	$250.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $18.01 / $20.81	Professional		$16.44	$18.01	$20.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Professional		$14.46	$14.46	$14.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $19.80 / $62.43	Facility		$16.44	$19.80	$62.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.28 / $15.39	Professional		$10.26	$10.28	$15.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $22.89 / $29.13	Facility		$20.81	$22.89	$29.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $21.85 / $28.09	Professional		$13.53	$21.85	$28.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $20.81 / $53.66	Facility		$15.23	$20.81	$53.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $23.95 / $52.33	Professional		$13.70	$23.95	$52.33
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $13.38 / $20.81	Professional		$8.74	$13.38	$20.81