Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $36.77 / $83.03	Facility		$12.11	$36.77	$83.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.28 / $14.25	Professional		$12.27	$12.28	$14.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $15.62	Professional		$15.62	$15.62	$15.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $24.56 / $29.72	Facility		$12.28	$24.56	$29.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $16.94	Professional		$12.28	$12.28	$16.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $18.42	Facility		$12.28	$12.28	$18.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $15.35	Professional		$12.28	$12.28	$15.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $22.27	Facility		$12.28	$12.28	$22.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $18.79	Professional		$12.28	$12.28	$18.79
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $13.02 / $16.39	Professional		$12.28	$13.02	$16.39