Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $86.04 / $140.13	Facility		$28.76	$86.04	$140.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.28 / $52.63	Professional		$22.81	$32.28	$52.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $35.09 / $49.13	Professional		$15.00	$35.09	$49.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $31.58 / $36.88	Facility		$21.84	$31.58	$36.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $26.00 / $48.50	Professional		$17.13	$26.00	$48.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $49.13 / $57.90	Facility		$38.60	$49.13	$57.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.62 / $58.95	Professional		$35.09	$45.62	$58.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $46.30 / $75.28	Facility		$22.81	$46.30	$75.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $58.64 / $225.86	Professional		$21.04	$58.64	$225.86
United Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $37.58 / $49.39	Professional		$21.76	$37.58	$49.39