Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $354.81 / $1,071.52	Facility		$95.50	$354.81	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $97.72	Professional		$93.33	$93.33	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Professional		$93.33	$93.33	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $204.17	Facility		$109.65	$141.25	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $181.97	Professional		$93.33	$93.33	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $169.82	Facility		$95.50	$95.50	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $104.71	Professional		$95.50	$95.50	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $251.19	Professional		$93.33	$93.33	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $181.97	Facility		$93.33	$93.33	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $112.20	Professional		$93.33	$93.33	$112.20