Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Facility		$40.70	$40.70	$40.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $28.04 / $40.70	Professional		$15.17	$28.04	$40.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $39.14	Professional		$29.71	$29.71	$39.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $19.59 / $37.81	Facility		$19.59	$19.59	$37.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $31.04	Professional		$19.59	$19.59	$31.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $61.76 / $93.96	Facility		$47.51	$61.76	$93.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $57.01 / $71.27	Professional		$49.89	$57.01	$71.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $48.73	Professional		$19.38	$19.38	$48.73
United Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $23.70 / $34.28	Professional		$13.43	$23.70	$34.28