Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $45.71 / $288.40	Facility		$20.89	$45.71	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $41.69	Professional		$15.85	$19.05	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.59 / $20.89	Professional		$12.30	$12.59	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $63.10	Facility		$20.89	$20.89	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $20.89	Professional		$10.23	$10.23	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $26.92	Facility		$16.60	$20.89	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $25.12	Professional		$13.49	$20.89	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.89 / $46.77	Facility		$13.49	$20.89	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $45.71 / $52.48	Professional		$15.14	$45.71	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $20.89 / $20.89	Facility		$9.33	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.49 / $20.89	Professional		$8.71	$13.49	$20.89