Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $129.83 / $15,426.98	Facility		$28.14	$129.83	$15,426.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.14 / $35.10	Professional		$27.86	$28.14	$35.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $28.85 / $28.85	Professional		$28.85	$28.85	$28.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $55.72 / $67.42	Facility		$27.86	$55.72	$67.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.85 / $40.96	Professional		$27.86	$28.85	$40.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $28.85 / $41.79	Facility		$27.86	$28.85	$41.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $34.83	Professional		$27.86	$27.86	$34.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $27.86 / $37.35	Facility		$27.86	$27.86	$37.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $34.04	Professional		$27.86	$27.86	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $29.84 / $37.22	Professional		$27.86	$29.84	$37.22