Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $59.10 / $244.92	Facility		$22.91	$59.10	$244.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.39 / $75.02	Professional		$22.91	$29.39	$75.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.01 / $22.01	Professional		$22.01	$22.01	$22.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $22.80 / $44.00	Facility		$22.80	$22.80	$44.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $23.17 / $30.78	Professional		$22.80	$23.17	$30.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $28.61 / $33.02	Facility		$22.01	$28.61	$33.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $65.06 / $81.33	Professional		$54.22	$65.06	$81.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $59.22 / $104.86	Professional		$24.17	$59.22	$104.86
United Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $79.20 / $124.43	Professional		$62.12	$79.20	$124.43