Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $190.55	Facility		$42.66	$97.72	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $51.29	Professional		$41.69	$41.69	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $63.10 / $93.33	Facility		$50.12	$63.10	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $63.10	Professional		$42.66	$42.66	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $63.10	Facility		$41.69	$41.69	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $66.07	Professional		$41.69	$41.69	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $53.70	Facility		$42.66	$42.66	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $47.86	Professional		$42.66	$42.66	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $81.28	Facility		$41.69	$41.69	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $46.77	Professional		$42.66	$44.67	$46.77