Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $24.55 / $100.00	Facility		$5.89	$24.55	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $19.05	Professional		$16.98	$16.98	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $18.20	Professional		$15.49	$15.49	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $20.42	Facility		$19.50	$20.42	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $28.84	Facility		$18.20	$18.20	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $25.70	Professional		$18.20	$19.05	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $85.11 / $85.11	Facility		$17.38	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $107.15 / $107.15	Professional		$17.38	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38