Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $29.51 / $114.82	Facility		$9.33	$29.51	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $14.79	Professional		$7.08	$8.51	$14.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $9.33	Professional		$4.68	$6.61	$9.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $28.18	Facility		$9.33	$9.33	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.68 / $8.13	Professional		$2.75	$4.68	$8.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $9.33 / $12.30	Facility		$5.89	$9.33	$12.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.33 / $11.22	Professional		$6.17	$9.33	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $9.33 / $20.89	Facility		$6.17	$9.33	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $19.05 / $20.89	Professional		$6.61	$19.05	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $9.33 / $9.33	Facility		$4.27	$9.33	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $9.33	Professional		$3.98	$6.03	$9.33