Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $53.70 / $190.55	Facility		$15.85	$53.70	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $25.70	Professional		$12.02	$14.13	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $20.89	Professional		$6.76	$9.55	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $47.86	Facility		$15.85	$15.85	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.94 / $15.85	Professional		$7.59	$7.94	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.85 / $20.89	Facility		$12.88	$15.85	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.85 / $19.05	Professional		$10.23	$15.85	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.85 / $35.48	Facility		$11.75	$15.85	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $32.36 / $39.81	Professional		$11.22	$32.36	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.85 / $15.85	Facility		$7.08	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.23 / $17.38	Professional		$6.61	$10.23	$17.38