Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.50 / $38.90	Facility		$19.05	$19.50	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $20.89	Professional		$19.05	$19.05	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $22.91 / $37.15	Facility		$21.88	$22.91	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $30.90	Facility		$19.50	$19.50	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $27.54	Professional		$19.50	$20.42	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $85.11 / $85.11	Facility		$19.50	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $83.18 / $83.18	Professional		$19.50	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50