Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $39.81 / $194.98	Facility		$12.02	$39.81	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $19.50	Professional		$8.91	$10.96	$19.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $10.23	Professional		$6.03	$6.03	$10.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $36.31	Facility		$12.02	$12.02	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.89 / $12.02	Professional		$5.75	$5.89	$12.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.02 / $15.85	Facility		$9.77	$12.02	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.02 / $14.45	Professional		$7.76	$12.02	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.02 / $26.92	Facility		$8.91	$12.02	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $25.70 / $34.67	Professional		$8.71	$25.70	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $12.02 / $12.02	Facility		$5.37	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.41 / $13.18	Professional		$5.01	$7.41	$13.18