Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $48.98 / $141.25	Facility		$13.18	$48.98	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $22.91	Professional		$10.00	$11.75	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $13.18	Professional		$6.61	$6.61	$13.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $39.81	Facility		$13.18	$13.18	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.46 / $13.18	Professional		$6.17	$6.46	$13.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $13.18 / $16.98	Facility		$10.47	$13.18	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.18 / $15.85	Professional		$8.51	$13.18	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.18 / $29.51	Facility		$9.55	$13.18	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $28.84 / $32.36	Professional		$9.33	$28.84	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $13.18 / $13.18	Facility		$5.89	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.94 / $13.18	Professional		$5.50	$7.94	$13.18