Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $37.15 / $56.23	Facility		$22.91	$37.15	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.91 / $48.98	Professional		$22.39	$22.91	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $34.67	Professional		$19.95	$23.44	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $23.44 / $43.65	Facility		$22.39	$23.44	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $37.15	Facility		$23.44	$23.44	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $30.20	Professional		$23.44	$23.44	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $85.11 / $85.11	Facility		$22.91	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $109.65 / $109.65	Professional		$22.91	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $25.12	Professional		$20.89	$25.12	$25.12