Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $65.33 / $165.72	Facility		$26.02	$65.33	$165.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $25.77 / $28.96	Professional		$25.76	$25.77	$28.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $23.93	Professional		$23.93	$23.93	$23.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $51.54 / $62.36	Facility		$25.77	$51.54	$62.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $25.77 / $33.97	Professional		$23.93	$25.77	$33.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $25.77 / $38.65	Facility		$23.93	$25.77	$38.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $32.21	Professional		$25.77	$25.77	$32.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $25.77 / $29.90	Facility		$25.77	$25.77	$29.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $33.69	Professional		$25.77	$25.77	$33.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $28.69 / $34.79	Professional		$25.77	$28.69	$34.79