Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $89.13 / $199.53	Facility		$15.14	$89.13	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $41.69	Professional		$12.02	$12.02	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.50 / $35.48	Facility		$16.98	$19.50	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $54.95	Professional		$21.38	$35.48	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $77.62 / $89.13	Facility		$13.18	$77.62	$89.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $77.62	Professional		$58.88	$66.07	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $18.62	Professional		$13.18	$13.18	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $97.72	Facility		$15.49	$15.49	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.49	Professional		$12.88	$12.88	$15.49