Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $776.25 / $1,148.15	Facility		$204.17	$776.25	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $275.42	Professional		$81.28	$85.11	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $112.20	Professional		$61.66	$87.10	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $194.98	Facility		$104.71	$128.82	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $173.78	Professional		$87.10	$104.71	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $162.18	Facility		$87.10	$141.25	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $141.25	Professional		$107.15	$120.23	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $263.03	Facility		$102.33	$102.33	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33