Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $164.78 / $6,615.84	Facility		$13.76	$164.78	$6,615.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $20.98 / $68.20	Professional		$11.36	$20.98	$68.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $15.27 / $17.50	Professional		$10.94	$15.27	$17.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $23.10	Facility		$11.97	$11.97	$23.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $12.07 / $16.14	Professional		$11.97	$12.07	$16.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $13.13 / $15.99	Facility		$10.94	$13.13	$15.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $50.12 / $67.11	Professional		$43.58	$50.12	$67.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $45.14 / $72.78	Professional		$12.33	$45.14	$72.78
United Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $53.29 / $85.95	Professional		$41.24	$53.29	$85.95