Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $141.25 / $524.81	Facility		$42.66	$141.25	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $95.50	Professional		$33.11	$38.90	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $64.57	Professional		$21.38	$42.66	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $128.82	Facility		$42.66	$42.66	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.38 / $42.66	Professional		$20.42	$21.38	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $57.54	Facility		$40.74	$51.29	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $60.26	Professional		$42.66	$48.98	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $125.89	Facility		$38.90	$77.62	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $117.49	Professional		$26.92	$43.65	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $46.77	Professional		$17.78	$25.70	$46.77