Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $87.10 / $275.42	Facility		$37.15	$87.10	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $87.10	Professional		$28.84	$31.62	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $37.15	Professional		$22.39	$26.30	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $112.20	Facility		$37.15	$37.15	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $38.02	Professional		$17.38	$17.38	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $44.67 / $50.12	Facility		$35.48	$44.67	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $52.48	Professional		$37.15	$42.66	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $37.15 / $75.86	Facility		$26.92	$37.15	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $72.44	Professional		$22.39	$33.88	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $40.74	Professional		$15.49	$22.39	$40.74