Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $109.65 / $316.23	Facility		$2.19	$109.65	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.45	Professional		$2.00	$2.00	$2.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.63 / $2.63	Facility		$2.51	$2.63	$2.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.19 / $2.19	Professional		$2.04	$2.19	$2.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $3.24	Facility		$2.04	$2.04	$3.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.14 / $2.82	Professional		$2.04	$2.14	$2.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $85.11 / $85.11	Facility		$2.19	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $9.55 / $9.55	Professional		$2.19	$9.55	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19