Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $86.68 / $172.14	Facility		$27.72	$86.68	$172.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $28.76 / $46.67	Professional		$22.81	$28.76	$46.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $24.21 / $35.09	Professional		$24.21	$24.21	$35.09
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 $17.32 / $17.32 / $36.78	Professional		$17.32	$17.32	$36.78
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 / $27.30 / $46.30	Facility		$22.81	$27.30	$46.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $58.64 / $169.13	Professional		$16.22	$58.64	$169.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $29.42 / $49.04	Professional		$21.05	$29.42	$49.04