Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $35.48 / $208.93	Facility		$4.79	$35.48	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $5.62	Professional		$2.00	$2.00	$5.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.40 / $2.57	Professional		$2.04	$2.40	$2.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.82 / $2.82	Facility		$2.69	$2.82	$2.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $3.89	Facility		$2.40	$2.40	$3.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.51 / $3.39	Professional		$2.40	$2.51	$3.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $85.11 / $85.11	Facility		$2.40	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $12.02 / $12.02	Professional		$2.40	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40