Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $47.86 / $85.11	Facility		$28.18	$47.86	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $41.69	Professional		$22.91	$28.84	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $17.38	Professional		$9.55	$9.55	$17.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $37.15	Facility		$29.51	$35.48	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $29.51	Professional		$17.38	$17.38	$29.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $57.54	Facility		$41.69	$48.98	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $56.23	Professional		$35.48	$45.71	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $56.23 / $56.23	Facility		$22.91	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $63.10 / $169.82	Professional		$17.38	$63.10	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $29.51 / $48.98	Professional		$15.14	$29.51	$48.98