Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $60.26 / $104.71	Facility		$34.67	$60.26	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $52.48	Professional		$28.84	$35.48	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $43.65 / $93.33	Professional		$21.38	$43.65	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $43.65 / $45.71	Facility		$36.31	$43.65	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $33.88	Professional		$19.95	$19.95	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $61.66 / $83.18	Facility		$43.65	$61.66	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $72.44	Professional		$46.77	$56.23	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $85.11 / $102.33	Facility		$28.18	$85.11	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $91.20 / $208.93	Professional		$20.42	$91.20	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $54.95	Professional		$19.05	$33.11	$54.95