Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $52.51 / $230.07	Facility		$41.38	$52.51	$230.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $60.00	Professional		$41.38	$41.38	$60.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $41.38 / $45.00	Professional		$25.86	$41.38	$45.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Facility		$16.55	$16.55	$16.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $16.55 / $16.55	Professional		$12.41	$16.55	$16.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $57.93 / $78.62	Facility		$41.38	$57.93	$78.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $53.79 / $69.52	Professional		$41.38	$53.79	$69.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $31.58 / $54.61	Facility		$26.90	$31.58	$54.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $41.38 / $199.45	Professional		$20.69	$41.38	$199.45
United Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $41.43 / $46.19	Professional		$25.03	$41.43	$46.19