Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $52.48 / $144.54	Facility		$21.38	$52.48	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $38.90	Professional		$30.20	$30.20	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $30.20	Professional		$14.13	$16.98	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $36.31 / $57.54	Facility		$34.67	$36.31	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $51.29 / $83.18	Facility		$45.71	$51.29	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $60.26	Professional		$33.88	$45.71	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $85.11 / $85.11	Facility		$33.88	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $162.18 / $162.18	Professional		$33.88	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $40.74	Professional		$33.88	$36.31	$40.74