Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $115.13 / $259.89	Facility		$28.84	$115.13	$259.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.35 / $62.56	Professional		$22.81	$31.35	$62.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $35.09 / $35.79	Professional		$19.00	$35.09	$35.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $31.58 / $36.88	Facility		$21.84	$31.58	$36.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $19.88 / $48.50	Professional		$16.89	$19.88	$48.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $49.13 / $57.90	Facility		$38.60	$49.13	$57.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.62 / $58.95	Professional		$35.09	$45.62	$58.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $27.30 / $82.39	Facility		$22.81	$27.30	$82.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $61.84 / $225.86	Professional		$16.22	$61.84	$225.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $29.42 / $49.04	Professional		$15.19	$29.42	$49.04