Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $3,467.37 / $7,413.10	Facility		$29.51	$3,467.37	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.90 / $1,819.70	Professional		$28.84	$30.90	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $64.57	Facility		$34.67	$44.67	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $56.23	Professional		$29.51	$29.51	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $52.48	Facility		$29.51	$29.51	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $32.36	Professional		$29.51	$29.51	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $57.54	Facility		$29.51	$29.51	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $74.13	Professional		$29.51	$29.51	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $56.23	Facility		$29.51	$29.51	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $31.62 / $33.88	Professional		$29.51	$31.62	$33.88