Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $63.10 / $151.36	Facility		$40.74	$63.10	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $44.67	Professional		$30.20	$33.11	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $20.42	Professional		$10.96	$10.96	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $123.03	Facility		$40.74	$40.74	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $36.31	Professional		$16.22	$17.38	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $54.95	Facility		$38.90	$48.98	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $56.23	Professional		$40.74	$44.67	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $44.67 / $72.44	Facility		$28.84	$44.67	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $36.31 / $77.62	Professional		$20.89	$36.31	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $44.67	Professional		$16.98	$24.55	$44.67