Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $78.13 / $198.20	Facility		$28.27	$78.13	$198.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.26 / $33.59	Professional		$27.99	$28.26	$33.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $41.99 / $41.99	Professional		$41.99	$41.99	$41.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $55.98 / $67.73	Facility		$27.99	$55.98	$67.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.62 / $40.64	Professional		$27.99	$28.62	$40.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $28.62 / $41.99	Facility		$27.99	$28.62	$41.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $34.99	Professional		$27.99	$27.99	$34.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Facility		$27.99	$27.99	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $33.20	Professional		$27.99	$27.99	$33.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.67 / $37.39	Professional		$27.99	$29.67	$37.39