Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $22.91	Facility		$19.95	$19.95	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $30.90	Professional		$19.95	$22.91	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $33.88	Professional		$15.49	$21.88	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $22.39 / $27.54	Facility		$20.89	$22.39	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.20 / $41.69	Facility		$23.99	$30.20	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $39.81	Professional		$18.20	$25.12	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $38.90	Professional		$19.95	$25.12	$38.90