Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $39.81 / $70.79	Facility		$22.91	$39.81	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $28.84	Professional		$19.05	$22.91	$28.84
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 $23.99 / $29.51 / $30.90	Facility		$23.99	$29.51	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $14.45	Professional		$11.75	$11.75	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $40.74 / $47.86	Facility		$34.67	$40.74	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $46.77	Professional		$29.51	$38.02	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $46.77 / $46.77	Facility		$19.05	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.88 / $141.25	Professional		$13.49	$33.88	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $29.51	Professional		$12.30	$17.38	$29.51