Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $72.05 / $195.86	Facility		$28.76	$72.05	$195.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.07 / $39.72	Professional		$22.02	$28.07	$39.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $35.09 / $35.79	Professional		$23.88	$35.09	$35.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $35.09 / $47.87	Facility		$21.84	$35.09	$47.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $19.14 / $47.87	Professional		$17.32	$19.14	$47.87
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 / $75.30	Facility		$22.81	$27.30	$75.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $44.47 / $169.13	Professional		$16.22	$44.47	$169.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $28.72 / $47.87	Professional		$14.74	$28.72	$47.87