Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $28.42 / $28.42	Facility		$28.42	$28.42	$28.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $20.07 / $33.04	Professional		$15.93	$20.07	$33.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $26.44 / $38.93	Professional		$18.39	$26.44	$38.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $13.69 / $26.42	Facility		$13.69	$13.69	$26.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $13.69 / $21.68	Professional		$13.69	$13.69	$21.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $43.13 / $65.61	Facility		$33.18	$43.13	$65.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $39.82 / $49.77	Professional		$34.84	$39.82	$49.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $34.04	Professional		$13.54	$13.54	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $16.55 / $28.20	Professional		$9.38	$16.55	$28.20