Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $2,238.72 / $6,309.57	Facility		$29.51	$2,238.72	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $29.51 / $43.65	Professional		$28.84	$29.51	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $34.67 / $56.23	Facility		$33.11	$34.67	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $46.77	Facility		$29.51	$29.51	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $40.74	Professional		$29.51	$30.90	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $85.11 / $85.11	Facility		$29.51	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $125.89 / $125.89	Professional		$29.51	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $33.11	Professional		$29.51	$30.90	$33.11