Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $16.22 / $22.91	Facility		$15.85	$16.22	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $16.98	Professional		$15.85	$15.85	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.79	Professional		$11.22	$11.22	$14.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $14.79 / $14.79	Facility		$0.03	$14.79	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $23.99	Professional		$20.42	$23.99	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $17.78	Facility		$10.96	$10.96	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.48 / $15.49	Professional		$10.96	$11.48	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $15.85	Professional		$13.49	$13.49	$15.85