Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $24.55 / $151.36	Facility		$13.18	$24.55	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $20.89	Professional		$10.00	$11.75	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $9.12	Professional		$7.76	$7.76	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $38.90	Facility		$13.18	$13.18	$38.90
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 / $15.49	Professional		$8.51	$13.18	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.18 / $28.84	Facility		$9.55	$13.18	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $25.70 / $29.51	Professional		$9.33	$25.70	$29.51
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 / $7.76 / $13.18	Professional		$5.50	$7.76	$13.18