Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $162.00 / $770.78	Facility		$61.26	$162.00	$770.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $19.73 / $47.99	Professional		$13.11	$19.73	$47.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Professional		$12.19	$12.19	$12.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $400.00 / $1,460.00	Facility		$15.87	$400.00	$1,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $15.87 / $21.96	Professional		$13.08	$15.87	$21.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $15.08 / $20.98	Facility		$11.70	$15.08	$20.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $14.42 / $17.70	Professional		$13.11	$14.42	$17.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $23.74 / $44.44	Professional		$21.91	$23.74	$44.44
United Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $20.57 / $29.99	Professional		$12.56	$20.57	$29.99