Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $600.61 / $1,723.33	Facility		$102.48	$600.61	$1,723.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $102.48 / $198.00	Professional		$102.48	$102.48	$198.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $89.47 / $170.30	Professional		$89.47	$89.47	$170.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $144.75	Facility		$75.00	$75.00	$144.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $75.00 / $106.50	Professional		$68.00	$75.00	$106.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $155.08 / $190.86	Facility		$119.29	$155.08	$190.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $137.18 / $178.94	Professional		$119.29	$137.18	$178.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Facility		$109.99	$109.99	$109.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $601.88	Professional		$450.58	$450.58	$601.88