Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $338.84 / $1,288.25	Facility		$4.90	$338.84	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.90 / $199.53	Professional		$3.98	$4.90	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.13 / $7.24	Professional		$4.90	$5.13	$7.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.24 / $11.22	Facility		$5.75	$7.24	$11.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $9.33	Professional		$4.79	$4.79	$9.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.24 / $9.77	Facility		$4.90	$7.24	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $13.18	Professional		$4.79	$4.79	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.46	Professional		$4.79	$4.79	$6.46