Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Facility		$30.01	$30.01	$30.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $30.01 / $31.52	Professional		$17.27	$30.01	$31.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $38.38 / $38.38	Professional		$38.38	$38.38	$38.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $41.33 / $46.18	Facility		$36.47	$41.33	$46.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $36.15 / $47.73	Professional		$34.32	$36.15	$47.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $36.36 / $63.93	Facility		$4.62	$36.36	$63.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $36.22 / $59.66	Professional		$3.93	$36.22	$59.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $39.36	Facility		$29.99	$29.99	$39.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $58.03	Professional		$25.49	$29.99	$58.03
United Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $15.75 / $37.39	Facility		$2.10	$15.75	$37.39
United Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $24.49 / $40.68	Professional		$15.07	$24.49	$40.68