Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $93.33 / $489.78	Facility		$35.48	$93.33	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $147.91	Professional		$28.18	$63.10	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $20.89	Professional		$14.79	$14.79	$20.89
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 $16.60 / $18.62 / $35.48	Professional		$16.60	$18.62	$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 $28.18 / $35.48 / $77.62	Facility		$28.18	$35.48	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $67.61 / $104.71	Professional		$23.99	$67.61	$104.71
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