Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $81.28 / $478.63	Facility		$27.54	$81.28	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $54.95 / $102.33	Professional		$21.88	$54.95	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $64.57	Professional		$28.18	$36.31	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $43.65	Facility		$22.91	$22.91	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $36.31	Professional		$22.91	$22.91	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $24.55 / $27.54	Facility		$23.44	$24.55	$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 $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $57.54 / $107.15	Professional		$23.99	$57.54	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $89.13	Facility		$27.54	$27.54	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $56.23 / $107.15	Professional		$22.39	$56.23	$107.15