Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $100.00	Facility		$29.51	$45.71	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $28.18	Professional		$18.20	$22.91	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $87.10	Facility		$29.51	$29.51	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $23.44	Professional		$11.75	$11.75	$23.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $34.67 / $39.81	Facility		$27.54	$34.67	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $40.74	Professional		$29.51	$32.36	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $29.51 / $64.57	Facility		$19.05	$29.51	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $29.51 / $45.71	Professional		$14.13	$29.51	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $29.51	Professional		$12.30	$17.38	$29.51