Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $102.02 / $727.69	Facility		$20.55	$102.02	$727.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $28.55	Professional		$20.35	$20.55	$28.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $28.27 / $28.27	Professional		$28.27	$28.27	$28.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $40.70 / $49.25	Facility		$20.35	$40.70	$49.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $28.08	Professional		$20.35	$20.35	$28.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $30.53	Facility		$20.35	$20.35	$30.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $25.95	Professional		$20.35	$20.35	$25.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $60.26	Facility		$20.35	$20.35	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $55.57	Professional		$20.35	$20.35	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.57 / $31.71	Professional		$20.35	$21.57	$31.71