Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $283.41 / $566.82	Facility		$80.73	$283.41	$566.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.94 / $36.65	Professional		$20.89	$23.94	$36.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $28.03 / $28.03	Professional		$28.03	$28.03	$28.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $51.00 / $1,581.25	Facility		$18.29	$51.00	$1,581.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $18.29 / $25.50	Professional		$13.99	$18.29	$25.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $29.43 / $42.05	Facility		$25.02	$29.43	$42.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $29.43 / $42.05	Professional		$18.82	$29.43	$42.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $283.41 / $283.41	Facility		$15.02	$283.41	$283.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $36.76 / $47.25	Professional		$14.47	$36.76	$47.25
United Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $18.50 / $34.93	Professional		$13.68	$18.50	$34.93