Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $244.50 / $532.22	Facility		$16.29	$244.50	$532.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $51.19 / $68.48	Professional		$15.77	$51.19	$68.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $69.53 / $97.09	Professional		$69.53	$69.53	$97.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $36.57 / $58.51	Facility		$36.57	$36.57	$58.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $35.40 / $62.65	Professional		$4.11	$35.40	$62.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $20.19 / $24.37	Facility		$16.14	$20.19	$24.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $83.44 / $104.30	Professional		$69.53	$83.44	$104.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $61.13 / $102.81	Professional		$20.50	$61.13	$102.81
United Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $72.47 / $110.29	Professional		$58.22	$72.47	$110.29