Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $77.78 / $174.23	Facility		$37.72	$77.78	$174.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $33.95 / $35.84	Professional		$30.94	$33.95	$35.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Professional		$37.72	$37.72	$37.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $35.96 / $113.19	Facility		$29.81	$35.96	$113.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $18.63 / $30.52	Professional		$18.63	$18.63	$30.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $41.50 / $52.82	Facility		$37.72	$41.50	$52.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $39.61 / $50.94	Professional		$24.52	$39.61	$50.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $37.72 / $97.27	Facility		$27.60	$37.72	$97.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $43.37 / $94.86	Professional		$24.84	$43.37	$94.86
United Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Facility		$37.72	$37.72	$37.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.64 / $41.47	Professional		$15.85	$22.64	$41.47