Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $33.90 / $118.68	Facility		$21.61	$33.90	$118.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $21.61 / $26.27	Professional		$18.89	$21.61	$26.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $40.52 / $40.52	Professional		$40.52	$40.52	$40.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $31.66 / $35.36	Facility		$27.94	$31.66	$35.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $36.19 / $48.75	Professional		$19.43	$36.19	$48.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $41.67 / $53.06	Facility		$30.06	$41.67	$53.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $38.90 / $47.75	Professional		$30.06	$38.90	$47.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $38.15 / $42.22	Facility		$35.36	$38.15	$42.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $38.15 / $54.87	Professional		$32.43	$38.15	$54.87
United Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $77.73 / $77.73	Facility		$77.73	$77.73	$77.73
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $32.82 / $44.57	Professional		$19.73	$32.82	$44.57