Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $562.34 / $2,454.71	Facility		$25.12	$562.34	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $18.20 / $25.12	Professional		$9.12	$18.20	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $25.12	Facility		$12.88	$12.88	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $25.12	Professional		$12.88	$12.88	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.02 / $43.65	Facility		$29.51	$38.02	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $41.69	Professional		$30.90	$35.48	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $24.55	Professional		$15.14	$15.14	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.13 / $20.89	Professional		$8.32	$14.13	$20.89