Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $257.04 / $512.86	Facility		$4.79	$257.04	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.92	Professional		$3.98	$3.98	$6.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.13 / $10.00	Professional		$4.79	$5.13	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.75 / $5.75	Facility		$5.50	$5.75	$5.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $7.76	Facility		$4.90	$4.90	$7.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.13 / $6.76	Professional		$4.90	$5.13	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $85.11 / $85.11	Facility		$4.79	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $20.42 / $20.42	Professional		$4.79	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79