Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.93 / $248.49 / $35,075.26	Facility		$91.93	$248.49	$35,075.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $101.47	Professional		$91.34	$91.34	$101.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.02 / $91.02	Professional		$91.02	$91.02	$91.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $182.68 / $221.04	Facility		$91.34	$182.68	$221.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $126.04	Professional		$91.34	$91.34	$126.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $91.34 / $137.01	Facility		$91.02	$91.34	$137.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $114.18	Professional		$91.34	$91.34	$114.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $95.64	Facility		$91.34	$91.34	$95.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $103.40	Professional		$91.34	$91.34	$103.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $96.82 / $104.73	Professional		$91.34	$96.82	$104.73