Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $75.86 / $123.03	Facility		$27.54	$75.86	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $33.11	Professional		$26.92	$26.92	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $40.74 / $60.26	Facility		$32.36	$40.74	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $43.65	Professional		$27.54	$27.54	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.18 / $38.02	Facility		$19.05	$28.18	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $34.67	Facility		$27.54	$27.54	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $29.51	Professional		$27.54	$27.54	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $57.54	Facility		$19.05	$19.05	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $28.84 / $32.36	Professional		$27.54	$28.84	$32.36