Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $11.99 / $25.18	Facility		$11.99	$11.99	$25.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $12.30 / $14.38	Professional		$11.99	$12.30	$14.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $17.63 / $18.89	Professional		$17.63	$17.63	$18.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $22.54 / $25.18	Facility		$19.89	$22.54	$25.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $17.98 / $24.27	Professional		$14.03	$17.98	$24.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $27.70 / $37.77	Facility		$21.40	$27.70	$37.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $27.70 / $33.99	Professional		$21.40	$27.70	$33.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $25.18	Facility		$16.29	$16.29	$25.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $25.84	Professional		$11.89	$11.89	$25.84
United Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $37.34 / $37.34	Facility		$37.34	$37.34	$37.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.56 / $17.80	Professional		$7.76	$12.56	$17.80