Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $4,168.69	Facility		$44.67	$64.57	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $50.12	Professional		$44.67	$44.67	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $50.12	Professional		$38.90	$44.67	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $53.70 / $87.10	Facility		$51.29	$53.70	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $45.71	Professional		$44.67	$45.71	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $70.79	Facility		$44.67	$44.67	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $63.10	Professional		$44.67	$46.77	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $85.11 / $85.11	Facility		$45.71	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $190.55 / $190.55	Professional		$45.71	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71