Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $95.50 / $181.97	Facility		$34.67	$95.50	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $66.07	Professional		$22.39	$28.18	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $35.48	Professional		$14.79	$17.38	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $104.71	Facility		$35.48	$35.48	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $35.48	Professional		$17.38	$17.38	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $47.86	Facility		$33.11	$41.69	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $48.98	Professional		$35.48	$38.90	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $35.48 / $75.86	Facility		$25.12	$35.48	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $87.10	Professional		$20.89	$35.48	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $38.90	Professional		$14.79	$20.89	$38.90