Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $37.15 / $85.11	Facility		$23.99	$37.15	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $28.84	Professional		$15.85	$19.95	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $72.44	Facility		$23.99	$23.99	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.55 / $18.62	Professional		$8.71	$9.55	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.99 / $31.62	Facility		$17.78	$23.99	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.99 / $28.84	Professional		$15.49	$23.99	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.99 / $45.71	Facility		$17.38	$23.99	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $38.02	Professional		$10.96	$12.59	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $23.99 / $23.99	Facility		$10.72	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $23.99	Professional		$10.00	$14.45	$23.99