Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $45.71	Facility		$19.50	$19.50	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.50	Professional		$19.05	$19.05	$19.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $24.55	Facility		$0.02	$0.02	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $38.02	Professional		$19.50	$21.88	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.02 / $45.71	Facility		$31.62	$38.02	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $21.38 / $58.88	Professional		$5.01	$21.38	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Professional		$22.91	$22.91	$27.54