Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $69.18 / $338.84	Facility		$10.00	$69.18	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $11.48	Professional		$7.08	$8.51	$11.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.62 / $9.55	Professional		$4.79	$5.62	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $28.18	Facility		$9.55	$9.55	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.68 / $9.55	Professional		$4.47	$4.68	$9.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $9.55 / $12.30	Facility		$7.08	$9.55	$12.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.55 / $11.48	Professional		$6.17	$9.55	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.55 / $21.38	Facility		$6.92	$9.55	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.59 / $21.38	Professional		$6.31	$12.59	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $9.55 / $9.55	Facility		$4.27	$9.55	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.50 / $9.55	Professional		$3.98	$5.50	$9.55