Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.21 / $194.50 / $45,678.19	Facility		$55.21	$194.50	$45,678.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $66.15	Professional		$55.57	$55.57	$66.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $111.14 / $134.47	Facility		$55.57	$111.14	$134.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $76.68	Professional		$55.57	$55.57	$76.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $55.57 / $83.36	Facility		$54.67	$55.57	$83.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $69.45	Professional		$55.57	$55.57	$69.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $55.57 / $59.91	Facility		$55.57	$55.57	$59.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $62.91	Professional		$55.57	$55.57	$62.91
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $58.90 / $68.91	Professional		$55.57	$58.90	$68.91